HomeMy WebLinkAboutbocc.con.amended.298.19 A-22019-12-17 CDD
Contract Information
Contract Number
Project Name
Contractor
Budget Line Item 40451510.562500
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 Caroline Bonynge County Representative
Phone (970) 429-1880
Provide a brief description of the contract:
Contract Value Summary:
$ 40,708.42
$ -
$ -
$ 40,708.42
298.19 A-2
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
No
ARFF Gear Purchases
Municipal Emergency Services
$ -
Additional Budget Line
Item(s)
(Please fully allocate New Contract Total)
$ -
$ -
$ -
$ -
Outside Agency
Goods, Equipment, Supplies
2/1/2020
7/31/2020
Task Order
Airport
Contract to purchases ARFF Gear
Original Contract Amount
Previous Change Order/Amendment Amount
This Change order/Amendment amount
New Contract Total
Master Service Agreement #: 298.19 A-2 Rev: 2018-10-10 btf
1
TASK ORDER
Task Order/Project Name: ARFF GEAR PURCHASES
Task Order Number: 298.19 A-2
Task Order Budget Line Item: 40451510.562500
OWNER: CONTRACTOR:
Pitkin County MES Municipal Emergency Services
Caroline Bonynge – Airport Michael Blackburn
0233 E Airport RD, Suite A 700 W Mississippi Avenue, Suite E3
Aspen, CO 81611 Denver, CO 80223
Phone: (970) 429-1881 Phone: (303) 722-7223
Caroline.Bonynge@aspenairport.com mharr@mesfire.com
PROJECT NAME: ARFF GEAR PURCHASES
START DATE: February 1, 2020
END DATE: July 31, 2020
The ARFF Gear Purchases (the “Agreement”) dated November 25, 2019 between the Board of County
Commissioners of Pitkin County (the “County”) and MES Municipal Emergency Services 700 W
Mississippi Avenue, Suite E3 Denver, CO 80223 (the “Contractor”), shall include the following services.
1. Contractor’s Obligations. Contractor shall furnish goods as detailed in Attachment A. Receipt of goods
shall be no later than July 31, 2020.
2. Compensation and Expenses, Invoicing, Payment and Offset. The County shall compensate
Contractor for its services in accordance with the Project Budget and Schedule set out in Paragraph 1
of this Task Order. It is expressly understood and agreed that in no event will the total compensation
and reimbursement to be paid hereunder exceed the sum of Forty Thousand Seven Hundred Eight
dollars and 42 cents ($40,708.42) for all services rendered. By Task Order or Task Order Amendment,
the County and Contractor may reallocate the budget among project tasks if the total budget amount
remains unchanged. Contractor shall invoice for the project monthly based on hours worked, with
payment expected within thirty (30) days of invoice, but any payment by the County may be offset by
any amount the Contractor owes the County for any reason.
Any invoices not sent in the following manner may have payment delayed. All invoices for this Task
Order shall reference Task Order 298.19 A-2 and ARFF GEAR PURCHASES. Invoices shall be sent
electronically in PDF format to Evelyn.Cruz@aspenairport.com.
Master Service Agreement #: 298.19 A-2 Rev: 2018-10-10 btf
2
3. Pitkin County’s Obligations. Pitkin County shall administer this contract through a County
Representative. Caroline Bonynge, Director of Operations & Safety will manage the project as the
County’s Representative. The services provided and products delivered by the Contractor under this
contract will be subject to review by the County’s Representatives, or a designee, for compliance with
Contractor’s obligations prior to final payment.
4. Formation of Task Order. This Task Order is issued in accordance with the provisions of the
Agreement. Contractor agrees to provide services subject to the terms of this Task Order and for the
avoidance of doubt this Task Order consists of the terms set out in the Agreement. In all other respects
the Agreement is in full force and effect and remains unchanged by this Task Order.
MES MUNICIPAL EMERGENCY SERVICES
________________________________________________
!#VENDOR SIGNATURE#! Date
PITKIN COUNTY, COLORADO
________________________________________________
!#DEPARTMENT REPRESENTATIVE#!Date
May-13-2020
Michael Blackburn
Vice President Western Zone
May-13-2020
Director of Operations, Safety & ARFF
Caroline Bonynge
298.19 A-2
TASK ORDER 2 to MSA 298.19
Invoices &
Date Quotes Items
12/16/2019 IN1407391 Women's Firefighter Shirt
1/8/2020 IN1414367 Women's Firefighter Shirt
1/23/2020 IN1419488 Men's Tactix jacket
1/27/2020 IN1420564 Men's Tactix jacket
1/29/2020 IN1421657 Men's Tactix jacket
3/5/2020 IN1434602 Women's Firefighter Shirt
2/6/2020 IN1424852 Men's embroidered Polo
3/5/2020 IN1440844 Polo shirt
4/8/2020 IN1445796 Fire Armor Gauntlet Gloves
2 pairs qack ordered
4/20/2020 IN1449126 Men's Tactix jacket
4/9/2020 IN1446237 Structural Boots
4/29/2020 IN1453022 Masks
4/29/2020 Genesis Extraction gear
Amount
Back order filled 3/5/20
$92.00 Back Order Task Order #1 amt not included
Back Order filled 4/20/20
$98.00 Back Order Task Order #1 amt not included
$98.00 Back Order Task Order #1 amt not included
$92.00 Back order from IN1407391 filled
$380.00 Sub-Total of Back Order from Task Order #1
$415.94 Ordered for this Task Order
$38.36 Back ordered piece from I.N1424852
$727.48 Ordered for this Task Order
$191.38 Ordered for this Task Order
$100.06 Back ordered piece from IN419488
$3,831.20 Ordered for this Task Order
$2,020.00 Emergency procurement
$33,004.00 Quote_
$40,708.42 Total task order #2
Page 1 of 12
03/30/2020 REC'D
MUNICIPAL EMERGENCY SERVICES
700 W. Mississippi Ave
STEE3
Denver, CO 80223
Bill To
Pitkin County
1001 Owl Creek Rd
Aspen CO 81611
United States
731NX45f~f8:NA \/\Jomens Firefighter Shirt, Short Sleeve:'1-~5 o-z/yd
VY-Medium-Reg Nomex IIIA -(FSF3NV-NAVY-Medium-Regular)
ular
1
Invoice
Date
Invoice#
Terms
Due Date
Customer#
PO#
Sales Rep
Order
Ship To
Pitkin County
1001 Owl Creek Rd
Aspen CO 81611
United States
03/05/2020
IN1434602
Net30
04/04/2020
C229015
see email from Capt. Treat
Harr, Mitchell
Sales Order #SO1318926
. //\j1(<lfTT)z
0 92.00 e2:oo
--~-~--~------L-------------------'---------------
Subtotal
Shipping Cost (Freight Fee)
Total
Amount Due
92.00
0.00
92.00
$92.00
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
All payments must be clearly marked with the Customer and Invoice numbers. Payments not marked will be applied to the oldest
invoice first.
Wire/ ACH:
Routing#:121000248
Acct#: 2000030294606
Bank Name:Wells Fargo Bank, N.A.
Wire/ ACH Remittance Advice: AR@MESFIRE.COM
Please include Customer# and Invoice#
Please call us for invoice questions:
1-877-MES-FIRE (1-877-637-3473)
II II I Ill II IIIIIII Ill lll Ill 11111
IN1434602
Remittance Slip
Customer
Invoice#
AmountDue ·
Amount Paid
Make Checks Payable To
C229015 Pitkin County
IN1434602
$92.00
Municipal Emergency Services Depository Account
75 Remittance Drive
Suite 3135
Chicago, IL 60675
ES
MUNf CiPAL EMERGENCY SERVICES
700 W. Mississippi Ave STE E3 . . . .
Denver, C.O 80223
Bill To
Pitkin County
1001 Owl Creek Rd
Aspen co·s1a1·1
United States
Invoice
Page 1 of 2
Oate
Invoice#.
Terms
Due Date
Customer#
PO#
.Sales Rep
Order
Ship To
Pitkln Cottnty
1001 Owl Creek Rd
Aspen Co 81611
Unlted States
Net~o
03/07/2020
0229015
see .eriia.il from Opt Treqt
Hc1rr, Mitchell
Sales Order#SO1a38469
-1 1 ·I2509-Black-X-MEN'S PERFORMANCE SHORT SLEEVE POLO
0
3. o
1
I 30.00 9.0.00
Large-Reg :
112509-Black.;2 : MEN'S PERFORMANCE SHORT SLEEVE POLO 30.00 . 0,00
· X2farge-Re.g l
t 12509-Midn!ghl, MEN'S PERFORMANCE SHORT SLEEVE POLO 3 0 i 30.00 90._0Q
Navy-:-X-Large-R, · '
:;eg
112509:.Midriight MEN'S PERFORMANCE SHORT SLEEVE POLO 0 30.00 3Q.OQ
Navy..:2X-Large-
Reg
·. 11250.9~Asphalt-
2X-Large-Re-g
MEN'S PERFORMANCE SHORT SLEEVE POLO '1 O· ·so.oo ,30.QO
1125{}9~WhitE;1-X MEN'S PERfQRMANGE SHQRT SLEEVE POLO 3 0 30.00 . 90,00
-Large-Reg
LARGJ=~EMBR6 Large Embroidery"'. 10,O0_d .,.11,oop stit,ches 11 '1 7.00 77.00
IDERY embroideryfrorn First Tactical Ware.house using .Proof
# 1 p50-B a,ncf ovemlght delivery approved per Steven
Shaw, .Manllfacturer Rep. .
ES
MUNKIPAL EMERGENCY SERVICES
Invoice
PEige 2 of2
Oat~
Invoice•#
02/06/2020
. JN1424852
I
L--,..L-,..-~----_r.____j_____,..__~~··· < =· J:.,..---. -;._.___.!
Subtotal 407.00
.Sh.ipping Co.st (FedEx Sta.ndard Overnight) 8,94
tk~~:•~~Jr~iwtl~t~~;~l
All returns must pe proce,ssed ·Within ~o clays of receipt and .require a: return ~uthorlzE¼tion ~umber anc;I a.re slJl:>ject t9 a restopking fee.
All payments must be clearly• marked with the Customer and Invoice numbers. Payments not marked will pe applied to the olaest
Invoice first. · ·
't-~r,"' \t. = 1/ I. .,._ -• ..:. •~ ;. ,l': ). \, t'" ., "" • .. ~~.,. ~ ,.. ,-..... _.. I-~• "', ;,I -,-1 .,. .,. ._ h I. .. , ~ •-,. J... C. -~ ._ ~ :.. "" "' .• V · .,. ..,_ .. "-., i... ..> ..< <=-•• ». "1' : .. \, 'J \l. <J-~ ._ i... ~ .U -' • ,4, ,1.. '-" ,;:, .:,. ;, <'-.:: ~ ~•,:. '•.:, "• ::-, .:-l. •r <;, ,.~ ,.. '=:-., ,'•. ;t '°'' -•• . ~• ,.. _. I' • "' .... ~• "I t,, J,, ~ f• •• ,.._ .,. I• t< ,. ..._.,. ..., ,, .,_ \ I,. • • ..,._. ., ,..
Wire/ ACH:
Routing#: 121000248.
Acct#:2000030294606
.Bani< Nam,e:'Wells fa~go Bank, N.A.
Wire/ ACH Remittan:ce Advice:•AR@MESFIRE.COM
Please ·include Customer# and lnvolce#
Ple~se· c;aH us for invoi~e quest_i\:)ns:
1-877-MES-FIRE (1.;877-637~3473.)
1111 J 1111111111111 1111111111111
IN1424852
Remittance .$lip
Cµstom~r
Invoice#
Amount.Due
Amount Paid
!Vlafce ChecJ<~ Payable To
C2290'15 Pitkin County
IN14248~2
$415.94
Municipal Emergency Service$ Depositpr.y Accpunt
75 ~emitt~mce Drive
Suite.3135
chica,~o, IL 60675
ES
MUNICIPAL EMERGENCY SERVICES
Bill To
Pitkin County
1001 Owl Creek Rd
Aspen CO 81611
United States
112509-Black-2 MEN'S PERFORMANCE SHORT SLEEVE POLO
X-Large-Reg
LARGE-EMBRO Large Embroidery-10,000 -17,000 stitches
IDERY embroidery from First Tactical Warehouse using Proof
# 1550-B and overnight delivery approved per Steven
Shaw, Manufacturer Rep.
Invoice
Date
Invoice#
Terms
03/25/2020
IN1440844
Net 30
04/24/2020
C229015
Due Date
Customer#
PO#
Sales Rep
Order
see email from Cpt Treat
Harr, Mitchell
Sales Order #SO1338469
Ship To
Pitkin County
1001 Owl Creek Rd
Aspen CO 81611
United States
0 30.00·
0 7.00
Subtotal
Shipping Cost {Freight Fee)
Total
Amount Due
30.00
7.00
37.00
1.36
38.36
$38.36
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
All payments must be clearly marked with the Customer and Invoice numbers. Payments not marked will be applied to the oldest
invoice first.
Wire/ ACH:
Routing#:121000248
Acct#: 2000030294606
Bank Name: Wells Fargo Bank, N.A
Wire/ ACH Remittance Advice: AR@MESFIRE.COM
Please include Customer# and Invoice#
Please call us for invoice questions:
1-877-MES-FIRE (1-877-637-3473)
II I I I 11111111111111111 111111111
IN1440844
Remittance Slip
Customer
Invoice#
Amount Due
Amount Paid
Make Checks Payable To
C229015 Pitkin County
IN1440844
$38.36
Municipal Emergency Services Depository Account
75 Remittance Drive
Suite 3135
Chicago, IL 60675
ES
MUNICIPAL EMERGENCY SERVICES
700 W. Mississippi Ave
STEE3
Denver, CO 80223
Bill To
Pitkin County
1001 Owl Creek Rd
Aspen CO 81611
United States
liiflff; ".. : ,1,,.:Jt'.J11lin,it
.GFA-GA~1212-M Fire Armor Gauntlet 'Giove -
edium-Regular-7 Caroline, Ryan, Eric, Garret, Jake
ON
· GFA-GA-1212-M Fire Armor Gauntlet Glove
edium-Wide-70 Andrew w
GFA-GA.:1212-s Fire Armor Gauntlet Glove
maU-Wide-64W Travis
GFA-GA-1212-L Fire Armor Gauntlet Glove
arge-Regular-76 Tucker, Jim
N
GFA-GA-1212-X Fire Armor Gauntlet Glove
-Large-Regular-Jed
82N
04/27/2020 REC'D
5
0
0
2
1·nvoice
Page 1 of 2
Date
Invoice#
Terms
Due Date
Customer#
PO#
Sales Rep
Order
Ship To
Pitkin County
1001 Owl Creek Rd
Aspen CO 81611
United States
0
0
04/08/2020
IN1445796
Net 30
05/08/2020
C229015
See email from Capt Treat
Harr, Mitchell
Sales Order #SO1358886
.!•l\lH1f)h.::,,
87.00 435.00
104.38 0.00
87.00 0.00
87.00 174.00
104.38 104.38
ES
MUNICIPAL EMERGENCY SERVICES
Invoice
Page2of2
Date
Invoice#
04/27/2020
04/08/2020
IN1445796
~-----4--'~--
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
All payments must be clearly marked with the Customer and Invoice numbers. Payments not marked will be applied to the oldest
invoice first.
~:;;;:~:::~%~~~~2~1000240=--·=-•--~--=-"'---·-:-=-·==-=--'-------'=~~~-~--=--=--------::-= ~Rernittanoe-Sliu~-~~~-~::--~ -----~~~;:;-~='-'==-==-'----~-=-~
0
-__;___--,l
-Accl#-:-200003029:46'0 _ -Customer C22901~5-P~,t~kin~c-o_u_n-ty ____ _
Bank Namt): W~lls Fargo Bank, N.A. Invoice# IN1445796
Wire/ ACH Remittance Advice: AR@MESFIRE.COM Amount Due $727.48
Please include Customer# and Invoice#
Please call us for invoice questions:
1-877-MES-FIRE (1-877-637-3473)
II II lff llllllllllllllll llll llll
IN1445796
Amount Paid
Make Checks Payable To
Municipal Emergency Services Depository Account
75 Remittance Drive
Suite 3135
Chicago, IL 60675
ES
MUNICIPAL EMERGENCY SERVICES
Bill To
Pitkin County
1001 Owl Creek Rd
Aspen CO 81611
United States
118501-Midnight Men's Tactix Soft Shell Jacket-COLOR: Midnight Navy
Navy-2X-Large (729) SIZE: 2X-Large
Invoice
Date
Invoice#
Terms
04/20/2020
IN1449126
Net 30
05/20/2020
C229015
Due Date
Customer#
PO#
Sales Rep
Order
Pitkin WR & FT Uniforms
Harr, Mitchell
Sales Order #SO1336258
Ship To
Pitkin County
1001 Owl Creek Rd
Aspen CO 81611
United States
0 98.00
Subtotal
Shipping Cost (Freight Fee)
Total
Amount Due
98.00
98.00
2.06
100.06
$100.06
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
All payments must be clearly marked with the Customer and Invoice numbers. Payments not marked will be applied to the oldest
invoice first.
Wire/ ACH:
Routing#: 121000248
Acct#: 2000030294606
Bank Name: Wells Fargo Bank, N.A.
Wire/ ACH Remittance Advice: AR@MESFIRE.COM
Please include Customer# and Invoice#
Please call us for invoice questions:
1-877-MES-FIRE (1-877-637-3473)
II I I I Ill II I lllll 111111111111111
IN1449126
Remittance Slip
Customer
Invoice#
Amount Due
Amount Paid
Make Checks Payable To
C229015 Pitkin County
IN1449126
$100.06
Municipal Emergency Services Depository Account
75 Remittance Drive
Suite 3135
Chicago, IL 60675
04/27/2020 REC'D
ES
MUNICIPAL EMERGENCY SERVICES
700 W. Mis~isslppi Ave
STE E3
Denver, CO 80223
Bill To
Pitkin County
1001 Owl Creek Rd
Aspen CO 81611
United States
1c'hlill'/'!)lr,J1) .
srsoi:>7~Black~1 Pro-Warririgton Leather Structural Boot-"NFPA-: ref .
2-E Quote78950
BT5007-Black-1 Pro-Warrington Leather Structural Boot-NFPA -ref
3-E Quote 78950
BT5007-Black-1 Pro-Warrington Leather Structural Boot-NFPA -·ref
1-E Quote 78950
BT5007-Black-9-Pro-Warrington Leather Structural Boot-NFPA -ref
E Quote 78950
6
Invoice
Page 1 of 2
Date
Invoice#
Terms
Due Date
Customer#
PO#
Sales Rep
Order
Ship To
Pitkin County
1001 Owl Creek Rd
Aspen CO 81611
United States
0
0
0
0
04/09/2020
IN1446237
Net 30
05/09/2020
C229015
see email from Capt Treat
Harr, Mitchell
Sales Order #S01359532
1\m!J11i1t
380.00
------
760.00
380.00 380.00
380.00 2,280.00
380.00 380.00
ES
MUNICIPAL EMERGENCY SERVICES
Invoice
Page 2 of2
Date
Invoice#
04/27/2020
04/09/2020 ,
IN1446237
Subtotal 3,800.00
Shipping Cost (FedEx Ground) 31.20
Total 3,831.20
Amount Due $3,831.20
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
All payments must be clearly marked with the Customer and Invoice numbers. Payments not marked will be applied to the oldest
invoice first.
~~~co~;;:-'-_:;~&ft~~~QT00024s~==::~~---·~ ~~-:-~· :: · ~·: ~---·~~:~:·-::~·~~:-gefnlU~nc_e;S!!P=·~=····~:::::::::::::;;:;-:::::;;==.c..c=,=======~==c...c=.
L Acct#t2ouotl:fcfZ{f4606 · Customer C229015 Pitkin County
Bank Name:Wells Fargo Bank, N.A. Invoice# IN 14 4e23 7
Wire/ ACH Remittance Advice: AR@MESFIRE.COM
Please include Customer# and Invoice#
Please call us for invoice questions:
1-8nMES-FIRE (1-877-637-3473)
II II lflllllllllllll Ill II IIII Ill
IN1446237
Amount Due
Amount Paid
Make Checks Payable To
$3,831.20
Municipal Emergency Services Depository Account
75 Remittance Drive
Suite 3135
Chicago, IL 60675
·E·.··• .. · ... · ...
.• . . . . .. ·.·••·· ·····••.·
MUNJCIPAl EMERGENCY SERVICES
700 W .. Mississippi Ave
STEE3
Denver, CO 80223
Bill To
Pitkin County
1001 Owl Creek Rd
Aspen CO 81611
United States
Invoice
Date
Invoice#
Terms
04/29/2020
IN1453022
Net30
,.. . 05/29/2020
0228015
Due Date
Customer#
PO#
Sc;lles Rep
Order
See email from Capt Treat
Harr, Mitchell
Sales Order#SO1363780
Ship To
Pitkin County
1001 Owl Creek Rd
Aspen CO 81611
United States
Subtotal
Shipping Cost (FedEx Ground)
Total
Amount Due
2,000.00
20.00
2,020.00
$2,020.00
All returns mµst be processed within 30 days of receipt and require a return authorization number and are su~ject to a restocking fee.
All payments must be clearly marked with the Customer and Invoice numbers. Payments not marked will be applied to the oldest
invoice first.
Wire/ ACH:
Routing#: .121000248
Acct#: .20000aJi1294606
Bank Name: Wells Fargo Bank, N.A.
Wire/ ACH Remittance Advice: AR@MESFIRE,COM
Please include Customer# and Invoice# ·
Please .call us for invoice qt1estions:
1-877-M.ES-FIR.E ( 1-877-637-34 73)
1111 I Ill II IIIIIIII Ill llf 1111111
Remittance Slip
C~stomer
Invoice#
Amount Due
Amount Paid
Make Chec~s Payable To
C229015'Pitkin County
IN1453022
$2,020.00
Municipal Emergency Serviqes Depository Account
75 Remittance Drive
Suite 3135 '-~----.. ) Chicago, IL 60675 -----._ ~
I
ES
MUNICIPAL EMERGENCY SERVICES
700 W. Mississippi Ave
STEE3
Denver, CO 80223
ART.108. 778.1
ART.108.740.4
ART.107.8342
Bill To
Pitkin County
1001 Owl Creek Rd
Aspen CO 81611
United States
Colorado Ware ...
ART.110.100.0Y
ART.105.375.5
ART.106.042.6
Quote
Date
Quote#
Expires
Sales Rep
PO#
Shipping Method
Ship To
Pitkin County
1001 Owl Creek Rd
Aspen CO 81611
United States
04/29/2020
QT1363325
05/29/2020
Harr, Mitchell
Extrication Project
FedEx Ground
C236-SL2 Nxtgen Cutter eForce 2.0 11,180.00 11,180.00
S44 E-Force 2.0
Colorado Warehouse Quarantine Tools
Telescopic Ram eForce 2.0
E-Pack E28 Lipo (Yellow)
Milwaukee 5 AMP Battery
110 VAC Adapter
10,719.00
8,000.00
1,250.00
3 250.00
1,105.00
Subtotal
Shipping Cost (FedEx Ground)
Total
10,719.00
8,000.00
1,250.00
750.00
1,105.00
33,004.00
0.00
$33,004.00
This Quotation is subject to any applicable sales tax and shipping & handling charges that may apply. Tax and shipping charges are
considered estimated and will be recalculated at the time of shipment to ensure they take into account the most current local tax
information.
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
Custom orders are not returnable. Effective tax rate will be applicable at the time of invoice.
II I II Ill II IIIIIII I II I I Ill Ill Ill
QT1363325
Certificate Of Completion
Envelope Id: 12B638FB668749CA8A5FC45285A627B7 Status: Completed
Subject: MES | Pitkin County Contract 298.19 A-2 for Review and Signature
Source Envelope:
Document Pages: 15 Signatures: 2 Envelope Originator:
Certificate Pages: 5 Initials: 0 Pitkin County Procurement
AutoNav: Enabled
EnvelopeId Stamping: Disabled
Time Zone: (UTC-07:00) Mountain Time (US & Canada)
530 East Main Street
Suite 203
Aspen, CO 81611
Procurement@PitkinCounty.com
IP Address: 24.9.118.68
Record Tracking
Status: Original
5/13/2020 8:34:23 AM
Holder: Pitkin County Procurement
Procurement@PitkinCounty.com
Location: DocuSign
Signer Events Signature Timestamp
Michael Blackburn
mblackburn@mesfire.com
Vice President Western Zone
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 75.71.26.157
Sent: 5/13/2020 12:36:59 PM
Viewed: 5/13/2020 1:05:54 PM
Signed: 5/13/2020 4:33:05 PM
Electronic Record and Signature Disclosure:
Accepted: 5/13/2020 1:05:54 PM
ID: bfa3ded5-eda0-4448-bf66-0de72e9c803d
Company Name: Pitkin County, Colorado
Caroline Bonynge
caroline.bonynge@aspenairport.com
Director of Operations, Safety & ARFF
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 65.38.144.66
Sent: 5/13/2020 4:33:07 PM
Viewed: 5/13/2020 4:34:19 PM
Signed: 5/13/2020 4:34:30 PM
Electronic Record and Signature Disclosure:
Accepted: 6/8/2021 9:54:41 AM
ID: 9fb09eb6-b9e6-4f82-a51f-0a63fb04812d
Company Name: Pitkin County, Colorado
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
Hilary Burgess
Hilary.Burgess@AspenAirport.com
Pitkin County Colorado
Security Level: Email, Account Authentication
(None)
Using IP Address: 50.209.235.201
Sent: 5/13/2020 8:36:25 AM
Viewed: 5/13/2020 9:34:04 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Certified Delivery Events Status Timestamp
Chris Padilla
chris.padilla@aspenairport.com
Airport Controller
Aspen/Pitkin County Airport
Security Level: Email, Account Authentication
(None)
Using IP Address: 73.78.53.43
Sent: 5/13/2020 9:34:04 AM
Viewed: 5/13/2020 12:36:59 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Carbon Copy Events Status Timestamp
Pitkin County Procurement
procurement@pitkincounty.com
Procurement
Pitkin County
Security Level: Email, Account Authentication
(None)
Sent: 5/13/2020 4:34:33 PM
Resent: 5/13/2020 4:34:42 PM
Viewed: 6/22/2021 12:58:35 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Accounts Payable
AP@pitkincounty.com
Accounts Payable
Pitkin County
Security Level: Email, Account Authentication
(None)
Sent: 5/13/2020 4:34:36 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: 5/13/2020 4:34:38 PM
Electronic Record and Signature Disclosure:
Accepted: 4/12/2021 2:10:41 PM
ID: c1bc55da-6ec1-49bb-8432-a0d7de7ce362
Company Name: Pitkin County, Colorado
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 5/13/2020 8:36:25 AM
Certified Delivered Security Checked 5/13/2020 4:34:19 PM
Signing Complete Security Checked 5/13/2020 4:34:30 PM
Completed Security Checked 5/13/2020 4:34:38 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: Michael Blackburn, Caroline Bonynge, Evelyn Cruz
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.