HomeMy WebLinkAboutbocc.con.amended.112.20 A2019-12-17 CDD
Contract Information
Contract Number
Project Name
Contractor
Budget Line Item 40451150.572000
Procurement Method:
Type:
Contract Start Date
Contract End Date
Contract Type
Retainage
If this is a new contractor, please enter the New Vendor information into Munis for workflow approval.
Contact Information:
Department
County Representative Matt Whitelock County Representative
Phone (970) 429-1880
Provide a brief description of the contract:
Contract Value Summary:
$ 428,712.90
$ -
$231,812.96
$ 660,525.86
112.20 A
Pitkin County
Procurement Cover Sheet
Please complete the Contract Cover Sheet when the contract/task order is complete and fully executed.
Return all Contract Cover Sheets and Contracts/Change Orders/Amendments/Task Orders to Procurement
Yes - 5%
Installation of Runway 15 REILs
Phoenix Industries LLC
$231,812.96
Additional Budget Line
Item(s)
(Please fully allocate New Contract Total)
$-
$-
$-
$-
Formal
Construction
9/21/2020
5/27/2021
New Contract
Airport
Change Order to install new conduit and cable along the westside of Runway 15/33 from the Airport Operations
Center to the Runway 15 REILs due to unsuccessful attempts at the original construction areas.
Original Contract Amount
Previous Change Order/Amendment Amount
This Change order/Amendment amount
New Contract Total
Contract #: 112.20 A Rev. 2018.06.13 btf
Budget Line Item #: 40451150.572000
*Increases over $25,000 and/or 10% (single increase or accumulative) of original contract must
have County Manager signature. 1
CHANGE ORDER / CONTRACT AMENDMENT
Change Order Number: 112.20 A
OWNER:
Pitkin County, Colorado
530 E. Main St., Suite #302
Aspen, CO 81611
CONTRACTOR:
Phoenix Industries LLC
Roy Thompson, Managing Member
1338 Grand Ave. #294
Glenwood Springs, CO 81601
The Provision of Installation of Runway 15 REILs (the “Contract”) dated September 30, 2020
between the Board of County Commissioners of Pitkin County, Colorado (the “County”) and
Phoenix Industries LLC (the “Contractor”), is hereby amended as follows:
Description of Change:
Install new conduit and cable along the westside of Runway 15/33 from the Airport Operations
Center to the Runway 15 REILs with an extension of time to complete the project through
5/27/2021. See attachment A, B, and C for further details of this change order.
Reason for Change:
The existing conduits from the Airport Operations Center parking lot to the runway and under
the runway were found to be damaged and blocked with soil and thus not usable. Because of this,
new conduit was required. Directional boring was attempted under the runway, ARFF road, and
Vehicle Service Road but was unsuccessful due to large rocks. Consideration was given to
utilizing a more powerful boring machine but this was dismissed due to concerns that it could
lead to vertical displacement of the runway pavement creating a bump on the surface. Since the
runway could not be crossed, installation of a new conduit route along the westside of the
runway was required. Winter weather was starting to set in by the time the damaged conduits
were discovered, so snow and cold temperature construction practices were required for a
majority of the westside work.
.
Original Contract Amount $ 428,712.90
Previous Change Order/Amendment Amount $
This Change Order/Amendment Amount $ 231,812.96
New Contract Total $ 660,525.86
Contract #: 112.20 A Rev. 2018.06.13 btf
Budget Line Item #: 40451150.572000
*Increases over $25,000 and/or 10% (single increase or accumulative) of original contract must
have County Manager signature. 3
In all other respects, the Contract is in full force and effect and remains unchanged by this
Amendment.
PHOENIX INDUSTRIES LLC
________________________________________________
!#VENDOR SIGNATURE#! Date
PITKIN COUNTY, COLORADO
RECOMMENDED FOR APPROVAL:
_________________________________________________
!#DEPARTMENT REPRESENTATIVE#! Date
_________________________________________________
Date
MANAGER APPROVAL:
________________________________________________
!#COUNTY MANAGER#! Date
Jan-11-2021
Managing Member
Roy Thomson
Matt Whitelock
Jan-11-2021
Director of Security and Construction
Rich Englehart
Jan-11-2021
Deputy County Manager
Jan-15-2021
County Manager
Jon Peacock
1 or -
AIRPORT:DATE:
LOCATION:
CONTRACTOR:Project: Install Runway 15 REIL
Item No.Unit Unit Price
Quantity
Change
P-152-4.1 CY $ 101.50 -704.00
P-152-4.2 CY $ 76.25 -810.00
T-901-5.1 Acre $ 11,300.00 1.45
L-108-5.1 LF $ 5.37 12,000.00
L-108-5.2 LF $ 3.26 4,547.00
L-110-5.1 LF $ 9.67 4,547.00
L-110-5.2 LF $ 22.00 -150.00
L-125-5.2 EA $ 1,312.00 11.00
C-105-CO1.1 LS $ 6,730.00 1.00
C-105-CO1.2 LS $ 8,750.00 1.00
C-105-CO1.3 LS $ 18,625.00 1.00
C-103-CO1.4 LS $ 5,248.00 1.00
T-901-CO1.5 Acre $ 4,600.00 1.00
L-108-CO1.6 LF $ 1.91 12,000.00
L-108-CO1.7 LF $ 0.75 4,547.00
L-110-CO1.8 LF $ 20.00 902.00
L-110-CO1.9 LF $ 5.50 4,547.00
L-125-CO1.10 LS $ 13,400.00 1.00
L-125-CO1.11 EA $ 1,800.00 11.00
CO1.12 LS $ 29,250.00 1.00
CO1.13 LS $ 38,500.00 1.00
This Change Order Total
Previous Change Order(s) Total
Original Contract Total (Schedule 1)
No. 8 AWG, 5kV L-824, Type C Cable, Installed in Trench, Duct
Bank or Conduit - Cold Weather Supplement $ 22,920.00
U.S. DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION
AIRPORT IMPROVEMENT PROGRAM
CONTRACT CHANGE ORDER NO.: SUPPLEMENTAL AGREEMENT NO.:
$ 231,812.96
$ -
$ 428,712.90
Revised Contract Total $ 660,525.86
The items described in this change order are a compilation of changes that were necessary due to conditions found in the field. In addition, the
time provided for completeion of the contract will increase by 30 working days.
You are requested to perform the following described work upon receipt of an approved copy of this document or as directed by the Engineer:
Description Amount Total
Aspen-Pitkin County Airport January 7, 2021
Aspen, CO AIP PROJECT NO.:3-08-0003-055
Phoenix Industries, LLC
Non-Encased 2-Way 3" Conduit $ (3,300.00)
ARFF Road Conduit Crossing with Detour $ 29,250.00
Mobilization - Directional Boring for Attempt under the Runway $ 6,730.00
Rock Excavation $ (71,456.00)
No. 6 AWG, Solid, Base Copper Counterpoise Wire, Installed
Above the duct Bank or Conduit, Including
Connections/Terminations
$ 64,440.00
Survey, Layout and Staking - Westside Improvements
Borrow Excavation $ (61,762.50)
$ 14,823.22
No. 8 AWG, 5kV L-824, Type C Cable, Installed in Trench, Duct
Bank or Conduit
L-867 Base Can, Size D $ 14,432.00
Seeding $ 16,385.00
Non-Encased 1-Way 2" Conduit $ 43,969.49
Mobilization - Trenching along the West side $ 8,750.00
VSR Conduit Crossing with Detour $ 38,500.00
Non-Encased 1-Way 2" Conduit - Cold Weather Supplement $ 25,008.50
Bonding & General Conditions $ 18,625.00
Modify West REIL Foundation $ 13,400.00
L-867 Base Can, Size D - Cold Weather Supplement $ 19,800.00
$ 5,248.00
No. 6 AWG, Solid, Base Copper Counterpoise Wire, Installed
Above the duct Bank or Conduit, Including
Connections/Terminations - Cold Weather Supplement
$ 3,410.25
Non-Encased 1-Way 2" Conduit - Steep Slope Supplement $ 18,040.00
Seeding - Additional Grading and Jute Mat on Westside $ 4,600.00
AIP PROJECT NO.: 3-08-0003-055 CHANGE ORDER NO.: 1
AIRPORT: Aspen-Pitkin County Airport LOCATION: Aspen, CO
JUSTIFICATION FOR CHANGE
1.Brief description of the proposed contract change(s) and location(s).
P-152-4.1, P-152-4.2, T-901-5.1, L-108-5.1, L-108-5.2, L-110-5.1, L-110-5.2, and L-
125-5.2: Adjust estimated contract quantities to as-constructed quantities.
L-105-CO1.1: Add a Mobilization item for remobilizing the boring subcontractor
for directional bores under Runway 15/33, Vehicle Service Road, and ARFF Road.
L-105-CO1.2: Add a Mobilization item for remobilizing the trenching equipment
for the added trenches along the west side.
L-105-CO1.3: Add bonding & general conditions for the extra work
L-103-CO1.4: Add a Survey, Layout and Staking item the new westside
T-901-CO1.5: Add a suplement to the contract unit price for seeding on the
westside due to irregular and steep terrain. This supplement covers removal of
existing landscape netting, the extra manpower and equipment time required for
preperation and grading, and installation of a jute stabilization matting.
L-108-CO1.6: Add a suplement to the contract unit price for No. 8 AWG, 5kV L-824
Cable to cover additional manpower, equipent and heating needed to pull wire
during cold weather conditions in order to maintain wire integrity per NEC code.
L-108-CO1.7: Add a suplement to the contract unit price for No. 6 AWG, Solid,
Base Copper Counterpoise Wire to cover additional manpower, equipent and
heating needed to pull wire during cold weather conditions in order to maintain
wire integrity per NEC code. It also includes snow removal and ground thawing at
cadwelded splice locations
L-110-CO1.8: Add a suplement to the contract unit price for Non-Encased 1-Way
2" Conduit to cover installation and removal of a temporary construction road for
trenching and equipment access along the steep hillside on the northwest side of
the runway (Station 10+18 to 19+20).
L-110-CO1.9: Add a suplement to the contract unit price for Non-Encased 1-Way
2" Conduit to cover trench excavation and backfill in frozen soil (12" - 14" frost
depth). This amount of frozen soil required extra processing for use as backfill or
was hauled and disposed of off-site (Westside Station 10+18 to 51+58).
L-125-CO1.10: Add an Item to cover modification of the west REIL foundation to
accept the new westside conduit. This work includes thawing frozen ground,
foundation modification labor and materials, and covering and heat curing new
concrete to protect from freezing.
L-125-CO1.11: Add a supplement to the contract unit price for L-867 Base Can,
Size D to cover the additional effort to thaw frozen ground, and covering and heat
curing new concrete to protect from freezing.
CO1.12: Add an Item to cover installation of conduit under the ARFF Road
including concrete backfill and construction of a detour to maintain access for
ARFF vehicles. This construction included thawing several feet of frozen soil,
demolition of the existing asphalt pavement, conduit installation, placement of
concrete backfill, finishing the concrete surface as new road pavement, and
covering and heat curing the concrete. The gravel surfaced detour road was
constructed to maintain access for ARFF vehicles during construction of the
crossing
CO1.13: Add an Item to cover installation of conduit under the Vehicle Service
Road including concrete backfill and construction of a detour to maintain access
for Operations and ARFF vehicles. This construction included thawing several feet
of frozen soil, demolition of the existing asphalt pavement, conduit installation,
placement of concrete backfill, finishing the concrete surface as new road
pavement, and covering and heat curing the concrete. The gravel surfaced detour
road was constructed to maintain access during construction of the crossing.
2.Reason(s) for the change(s). (Continue on reverse if necessary.)
During construction it was discovered that existing conduits from the Airport
Operations Center parking lot to the runway and under the runway were damaged
and blocked with soil and thus not usable. Because of this new conduit was
required. Directional boring was attempted under the runway, ARFF road, and
Vehicle Service Road but was unsuccessful due to large rocks. Consideration was
given to utilizing a more powerful boring machine but this was dismissed due to
concerns that it could lead to verticle displacement of the runway pavement
creating a bump on the surface. Since the ruway could not be crossed installation
of a new conduit route along the westside of the runway was required. Winter
weather was starting to set in by the time the damaged conduits were discovered,
so snow and cold temperature construction practices were required for a majority
of the westside work.
.
3.Justifications for unit cost or price.
Prices for new items have been reviewed and negotiated with the Contractor.
Based on documentation provided by the Contractor and observation of the work
performed, they were determined to be fair and reasonable.
4.The sponsor's share of this cost is available from:
Airport Capital Funds
5.If this is a supplemental agreement involving more than $2,000, is the cost
estimate based on the latest wage rate decision: Yes □ No □ Not
Applicable X.
6.Has consent of surety been obtained? Yes □ Not Necessary X.
7.Will this change affect the insurance coverage? Yes □ No X.
8.If yes, will the policies be extended? Yes □ No □.
9.Has this Change Order been discussed with FAA Officials?
Yes X□ No □ When: November 17, 2020 With Whom: Kristin Brownson
Comments ______________________________________________________________________
ID Task
Mode
Task Name Duration Start Finish Predecessors
1 Aspen Runway 15 REIL 179 days Mon 9/21/20 Thu 5/27/21
2 Admin & Submittals 90 days Mon 9/21/20 Fri 1/22/21
3 Contract & Notice Of Award 0 days Mon 9/21/20 Mon 9/21/20
4 Pre‐Construction Meeting & Notice to Proceed 0 days Mon 9/21/20 Mon 9/21/20 3
5 General Submittals 5 days Mon 9/21/20 Fri 9/25/20 4
6 REIL Submittal 5 days Mon 9/21/20 Fri 9/25/20 4
7 General Submittal Review 10 days Mon 9/28/20 Fri 10/9/20 5
8 REIL Submittal Review 10 days Mon 9/28/20 Fri 10/9/20 6
9 REIL Lead Time 9 to 10 Weeks 75 days Mon 10/12/20 Fri 1/22/21 8
10 TSA Security Review & Orientation 5 days Mon 10/12/20 Fri 10/16/20 7
11 Eastside Conduit 16 days Mon 10/19/20 Mon 11/9/20
12 Mobilization 1 day Mon 10/19/20 Mon 10/19/20 10
13 Directional Boring 1 day Tue 10/20/20 Tue 10/20/20 12
14 Trench Excavation, Conduit & Backfill 5 days Tue 10/20/20 Mon 10/26/20 12
15 Weather Delay 6 days Tue 10/27/20 Tue 11/3/20 14
16 Trench Excavation, Conduit & Backfill 4 days Wed 11/4/20 Mon 11/9/20 15
17 Form & Pour Cans 5 days Wed 10/28/20 Tue 11/3/20 13FS+5 days
18 Set Cans 2 days Wed 11/4/20 Thu 11/5/20 17
19 Electrical Wire Pull 2 days Fri 11/6/20 Mon 11/9/20 18
20 Westside Conduit 55 days Mon 11/9/20 Mon 1/25/21
21 Work Directive 002 West Side Conduit & Bore 0 days Mon 11/9/20 Mon 11/9/20 19,16
22 Trench Excavation, Conduit & Backfill 12 days Tue 11/10/20 Wed 11/25/20 21
23 Directional Boring 3 days Thu 11/12/20 Mon 11/16/20 21FS+2 days
24 Work Directive 003 West Side Conduit w/Out Bore 0 days Wed 11/25/20 Wed 11/25/20 22,23
25 Trench Excavation, Conduit & Backfill 15 days Thu 11/26/20 Wed 12/16/20 24
26 Peremiter Road 8 days Thu 12/17/20 Mon 12/28/20 25
27 ARFF Road 7 days Tue 12/29/20 Wed 1/6/21 26
28 Form & Pour Cans & West Side REIL 14 days Mon 12/21/20 Thu 1/7/21 24FS+17 days
29 REIL's Integration VPN Programing 15 days Mon 12/28/20 Fri 1/15/21 25FS+7 days
30 Set Cans & REIL's Foundations 10 days Fri 1/8/21 Thu 1/21/21 27,28
31 Electrical Wire Pull 10 days Fri 1/8/21 Thu 1/21/21 28
32 REIL Delivery 0 days Fri 1/22/21 Fri 1/22/21 9,29,30,31
33 REIL Install 1 day Mon 1/25/21 Mon 1/25/21 32
34 Spring of 2021 73 days Tue 1/26/21 Thu 5/6/21
35 Winter Shut Down (Weather Providing) 68 days Tue 1/26/21 Thu 4/29/21 33
36 Final Grading & Seeding 5 days Fri 4/30/21 Thu 5/6/21 35
37 Substantial Completion 0 days Thu 5/6/21 Thu 5/6/21 36
38 Project Closeout 15 days Fri 5/7/21 Thu 5/27/21
39 Project Closeout 15 days Fri 5/7/21 Thu 5/27/21 37
40 Project Completion 0 days Thu 5/27/21 Thu 5/27/21 39
9/21
9/21
11/9
11/25
1/22
5/6
5/27
26 2 9 16 23 30 6 13 20 27 4 11 18 25 1 8 15 22 29 6 13 20 27 3 10 17 24 31 7 14 21 28 7 14 21 28 4 11 18 25 2 9 16 23 30 6 13 2
Aug '20 Sep '20 Oct '20 Nov '20 Dec '20 Jan '21 Feb '21 Mar '21 Apr '21 May '21 Jun '21
Task
Split
Milestone
Summary
Project Summary
Inactive Task
Inactive Milestone
Inactive Summary
Manual Task
Duration-only
Manual Summary Rollup
Manual Summary
Start-only
Finish-only
External Tasks
External Milestone
Deadline
Critical
Critical Split
Progress
Manual Progress
Aspen REIL 15
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Phoenix
Industries LLC
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Know what's below.
Call before you dig.
ISSUED FOR BID
07/15/2020
C 2020
KIMLEY-HORN AND ASSOCIATES, INC.
16 KEARNS ROAD
SUITE 310C/D
SNOWMASS VILLAGE, CO 81615
PHONE: (970) 429-8855
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Know what's below.
Call before you dig.
ISSUED FOR BID
07/15/2020
C 2020
KIMLEY-HORN AND ASSOCIATES, INC.
16 KEARNS ROAD
SUITE 310C/D
SNOWMASS VILLAGE, CO 81615
PHONE: (970) 429-8855
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Know what's below.
Call before you dig.
ISSUED FOR BID
07/15/2020
C 2020
KIMLEY-HORN AND ASSOCIATES, INC.
16 KEARNS ROAD
SUITE 310C/D
SNOWMASS VILLAGE, CO 81615
PHONE: (970) 429-8855
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096557013
R
Know what's below.
Call before you dig.
ISSUED FOR BID
07/15/2020
C 2020
KIMLEY-HORN AND ASSOCIATES, INC.
16 KEARNS ROAD
SUITE 310C/D
SNOWMASS VILLAGE, CO 81615
PHONE: (970) 429-8855
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DESIGNED BY
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096557013
R
Know what's below.
Call before you dig.
ISSUED FOR BID
07/15/2020
C 2020
KIMLEY-HORN AND ASSOCIATES, INC.
16 KEARNS ROAD
SUITE 310C/D
SNOWMASS VILLAGE, CO 81615
PHONE: (970) 429-8855
BY
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C3.6
ELECTRICAL
LAYOUT PLAN
STA. 43+50 TO
STA. 52+50
EL-096557013
3-08-0003-055
07/15/2020
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SHEET NO.
SHEET TITLE
AIP NO.
PROJECT NO.
FILE NO.
CHECKED BY
DRAWN BY
DESIGNED BY
DATE
096557013
R
Know what's below.
Call before you dig.
ISSUED FOR BID
07/15/2020
C 2020
KIMLEY-HORN AND ASSOCIATES, INC.
16 KEARNS ROAD
SUITE 310C/D
SNOWMASS VILLAGE, CO 81615
PHONE: (970) 429-8855
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54946
MATCH LINE SEE SHEET C3.5
12 OF 15
AIRPORT
OPERATIONS
CENTER
EZ-096557013
3-08-0003-055
07/15/2020
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SHEET NO.
SHEET TITLE
AIP NO.
PROJECT NO.
FILE NO.
CHECKED BY
DRAWN BY
DESIGNED BY
DATE
096557013
R
Know what's below.
Call before you dig.
ISSUED FOR BID
07/15/2020
C 2020
KIMLEY-HORN AND ASSOCIATES, INC.
16 KEARNS ROAD
SUITE 310C/D
SNOWMASS VILLAGE, CO 81615
PHONE: (970) 429-8855
BY
DE
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CJM
JPT
DJC
C3.7
13 OF 15
ELECTRICAL
DETAILS
TYPICAL TRENCH SECTION - DIRECT BURY (DB)1 TYPICAL DUCT SECTION - DIRECTIONAL BORE2
COUNTERPOISE SYSTEM GROUND ROD DETAIL3 SYSTEM GROUNDING DETAIL5
L-867 SIZE D BASE CAN4
PCC BACKFILL EDGE SEAL6
Certificate Of Completion
Envelope Id: 802754A1797C48E8B9047E796703BF8A Status: Completed
Subject: 112.20 A Runway 15 REILs Change Order
Source Envelope:
Document Pages: 14 Signatures: 4 Envelope Originator:
Certificate Pages: 5 Initials: 0 Jennifer Mitchley
AutoNav: Enabled
EnvelopeId Stamping: Disabled
Time Zone: (UTC-07:00) Mountain Time (US & Canada)
530 East Main Street
Suite 203
Aspen, CO 81611
jennifer.mitchley@aspenairport.com
IP Address: 216.237.67.99
Record Tracking
Status: Original
1/11/2021 11:14:19 AM
Holder: Jennifer Mitchley
jennifer.mitchley@aspenairport.com
Location: DocuSign
Signer Events Signature Timestamp
Roy Thomson
roy@pillc.co
Managing Member
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 208.72.68.168
Sent: 1/11/2021 11:23:29 AM
Viewed: 1/11/2021 11:24:44 AM
Signed: 1/11/2021 11:28:38 AM
Electronic Record and Signature Disclosure:
Accepted: 1/11/2021 11:24:44 AM
ID: 323f2773-5db7-485c-80b4-45c70d1bc617
Company Name: Pitkin County, Colorado
Matt Whitelock
matt.whitelock@aspenairport.com
Director of Security and Construction
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 65.38.144.66
Sent: 1/11/2021 11:28:43 AM
Viewed: 1/11/2021 1:14:30 PM
Signed: 1/11/2021 1:14:44 PM
Electronic Record and Signature Disclosure:
Accepted: 1/11/2021 1:14:30 PM
ID: 6d92e273-ba45-420c-b447-f500d199f7bb
Company Name: Pitkin County, Colorado
Rich Englehart
rich.englehart@pitkincounty.com
Deputy County Manager
Pitkin County
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 73.34.180.169
Sent: 1/11/2021 1:14:49 PM
Viewed: 1/11/2021 1:16:36 PM
Signed: 1/11/2021 1:17:19 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Jon Peacock
Jon.peacock@pitkincounty.com
County Manager
Pitkin County
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address: 75.71.107.170
Sent: 1/11/2021 1:17:23 PM
Viewed: 1/15/2021 2:47:19 PM
Signed: 1/15/2021 2:47:26 PM
Electronic Record and Signature Disclosure:
Signer Events Signature Timestamp
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Accounts Payable
AP@pitkincounty.com
Accounts Payable
Pitkin County
Security Level: Email, Account Authentication
(None)
Sent: 1/15/2021 2:47:29 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Evelyn Cruz
evelyn.cruz@aspenairport.com
Aspen/Pitkin County Airport
Security Level: Email, Account Authentication
(None)
Sent: 1/15/2021 2:47:29 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Pitkin County Procurement
procurement@pitkincounty.com
Procurement
Pitkin County
Security Level: Email, Account Authentication
(None)
Sent: 1/15/2021 2:47:29 PM
Viewed: 1/26/2021 12:54:52 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 1/11/2021 11:23:29 AM
Certified Delivered Security Checked 1/15/2021 2:47:19 PM
Signing Complete Security Checked 1/15/2021 2:47:26 PM
Completed Security Checked 1/15/2021 2:47:29 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, Pitkin County (we, us or Pitkin County) may be required by law to provide
you with certain written notices or disclosures. Described below are the terms and conditions for
providing to you such notices and disclosures electronically when we send you documents for
electronic signature.
Acknowledging your Access, Intent, and Consent to Receive and Sign Materials
Electronically
To confirm that you can access this information electronically, which will be similar to other
electronic notices and disclosures that we will provide to you, please verify that you were able to
read this electronic disclosure and that you also were able to print on paper or electronically save
this page for your future reference and access or that you were able to e-mail this disclosure and
consent to an address where you will be able to print on paper or save it for your future reference
and access. Further, if you consent to receive notices and disclosures exclusively in electronic
format on the terms and conditions described above, please let us know by clicking the 'I agree'
button below.
By checking the 'I Agree' box, I confirm that:
I am establishing my intent to be bound to the transaction, and indicating that I am fully
aware of the purpose for which the signature is being provided.
I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF
ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and
I can print on paper the disclosure or save or send the disclosure to a place where I can
print it, for future reference and access; and
Until or unless I notify Pitkin County as described above, I consent to receive from
exclusively through electronic means all notices, disclosures, authorizations,
acknowledgments, and other documents that are required to be provided or made
available to me by Pitkin County during the course of my relationship with you.
Signing Documents without a Pitkin County DocuSign Account:
Pitkin County may not require all document signers to be authorized users of the Pitkin County
DocuSign Account. Please read the information below carefully and thoroughly, and if you can
access this information electronically to your satisfaction and agree to these terms and
conditions, please confirm your agreement by clicking the 'I agree' button at the bottom of this
document. When you don't have a DocuSign account, you will be provided the opportunity to
agree to the Legal Disclosure each time you open an "envelope" for signing, at this time, you can
download and retain this disclosure. Pitkin County will forward completed documents that
you've reviewed, processed or signed via email. Should you require copies of these signed
documents (e.g., if they get deleted from your email account) you should request those
documents from Pitkin County under the Colorado Open Records Act by contacting the Pitkin
County custodian who sent you the document for signature.
Signing Documents with a Pitkin County DocuSign Account:
Electronic Record and Signature Disclosure created on: 3/20/2020 3:28:13 PM
Parties agreed to: Roy Thomson, Matt Whitelock
Please read the information below carefully and thoroughly, and if you can access this
information electronically to your satisfaction and agree to these terms and conditions, please
confirm your agreement by clicking the 'I agree' button at the bottom of this document.
Getting paper or electronic copies
At any time, you may request from us a paper or electronic copy of any record provided or made
available electronically to you by us. For such copies, as long as you are an authorized user of
the DocuSign system you will have the ability to download and print any documents we send to
you through your DocuSign user account for a limited period of time (usually 30 days) after such
documents are first sent to you. After such time, if you wish for us to send you paper or
electronic copies of any such documents from our office to you, you may be charged a per-page
fee. You may request delivery of such paper or electronic copies from us by following the
procedure described below.
Withdrawing your consent
If you are an authorized DocuSign Account holder, you can decide to receive notices and
disclosures from us electronically, you may at any time change your mind and tell us that
thereafter you want to receive required notices and disclosures only in paper format. Described
below is the process for informing us of your decision to receive future notices and disclosure in
paper format and also how to withdraw your consent to receive notices and disclosures
electronically.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. To indicate to us that you are changing your mind, you must
withdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of your
DocuSign account. This will indicate to us that you have withdrawn your consent to receive
required notices and disclosures electronically from us and you will no longer be able to use your
DocuSign user account to receive required notices and consents electronically from us or to sign
electronically documents from us.
All notices and disclosures will be sent to you electronically
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through your DocuSign user account all required notices, disclosures,
authorizations, acknowledgments, and other documents that are required to be provided or made
available to you during the course of our relationship with you. To reduce the chance of you
inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
How to contact Pitkin County:
You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to Helpdesk@provelocity.com
To advise Pitkin County of your new e-mail address
To let us know of a change in your e-mail address where we should send notices and disclosures
electronically to you, you must send an email message to us at Helpdesk@provelocity.com and
in the body of such request you must state: your previous e-mail address, your new e-mail
address .
In addition, you must notify DocuSign, Inc to arrange for your new email address to be reflected
in your DocuSign account by following the process for changing e-mail in DocuSign.
To request paper or electronic copies from Pitkin County
To request delivery from us of paper or electronic copies of the notices and disclosures
previously provided by us to you electronically, you should request those documents from Pitkin
County under the Colorado Open Records Act by contacting the Pitkin County custodian who
sent you the document for signature.
To withdraw your consent with Pitkin County
To inform us that you no longer want to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your DocuSign account, and on the subsequent
page, select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an e-mail to Helpdesk@provelocity.com and in the body of such a request, you
must state your e-mail, full name, Postal Address, telephone number, and account
number.