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Home My WebLink Aboutbocc.con.amended.051.17 C-18-B 2017-11-13 btf eKIN Pitkin County COUNT 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 Contract Information Contract Number 051.17 C-18 B Project Name Northstar Stillwater Bridge Railing Re-Design Contractor SGM, Inc. Budget Line Item 11836360 544500 10069 $ - $ - Additional Budget Line $ _ Item(s) $ _ (Please fully allocate New Contract Total) $ — Procurement Method: Formal Type: Services/Maintenance Contract Start Date 5/8/2019 Contract End Date 5/31/2022 Contract Type _Change Order/Contract Amendment Retainage No If this is a new contractor, please request they complete and submit to Finance a New Vendor Request Form. Contact Information: Department Open Space & Trails County Representative Ted O'Brien County Representative (970)429-6130 Phone Provide a brief description of the contract: Extension through 5/31/22 for project completion and additional funding for continuation of support services. Contract Value Summary: Original Contract Amount $ 9,500.00 Previous Change Order/Amendment Amount $ - This Change order/Amendment amount $ 3,500.00 New Contract Total $ 13,000.00 NOTE: Clerks Office will keep original documents in compliance with Colorado State Archives retainage Contract#: 051.17 C-18 Rev. 2018.06.13 btf Budget Line Item#: 11836360 544500 10069 fl iTKIN COUN TI CHANGE ORDER/CONTRACT AMENDMENT Change Order Number: 051.2017 C-18-B OWNER: CONTRACTOR: Pitkin County, Colorado SGM, Inc. 530 E. Main St., Suite#302 118 West 6t1 Street, Suite 200 Aspen, CO 81611 Glenwood Springs, CO 81601 The Provision of Northstar Stillwater Bridge Railing Re-Design (the "Contract") dated May 8, 2019 between the Board of County Commissioners of Pitkin County, Colorado (the "County") and SGM, Inc. (the "Contractor"), is hereby amended as follows: Description of Change: Extension through May 31, 2022 to allow for project completion and additional funding. Reason for Change: Extension for continued support and addition of$3,500.00 for additional tasks to be completed throughout extension period. Original Contract Amount $ 9,500.00 Previous Change Order/Amendment Amount $ 0.00 This Change Order/Amendment Amount $3,500.00 New Contract Total $ 13,000.00 *Increases over$25,000 and/or 10% (single increase or accumulative)of original contract must have County Manager signature. 1 Contract#: 051.17 C-18 Rev. 2018.06.13 btf Budget Line Item#: 11836360 544500 10069 In all other respects, the Contract is in full force and effect and remains unchanged by this Amendment. SGM, INC. kikFatty( Jul-19-2021 Mike Fowler Date Project Manager PITKIN COUNTY,COLORADO Jul-15-2021 Ted o'Bri en Date Resource and Trails Manager *Increases over$25,000 and/or 10% (single increase or accumulative)of original contract must have County Manager signature. 2 DocuSign Certificate Of Completion Envelope Id:39C7312B360F4F139EA81CCCA2895016 Status:Completed Subject:SGM, Inc. I Pitkin County Change Order 051.17 C-17-B for Review and Signature Department: Source Envelope: Document Pages:3 Signatures:2 Envelope Originator: Certificate Pages:5 Initials:0 Pitkin County Procurement AutoNav: Enabled 530 East Main Street Envelopeld Stamping: Disabled Suite 203 Time Zone: (UTC-07:00)Mountain Time(US&Canada) Aspen,CO 81611 Procurement@PitkinCounty.com IP Address: 107.77.201.189 Record Tracking Status:Original Holder:Pitkin County Procurement Location: DocuSign 7/15/2021 3:10:37 PM Procurement@PitkinCounty.com Signer Events Signature Timestamp Ted O'Brien Sent:7/15/2021 3:14:08 PM ted.obrien@pitkincounty.com Viewed:7/15/2021 3:17:48 PM Resource and Trails Manager Signed:7/15/2021 3:18:09 PM Security Level: Email,Account Authentication (None) Signature Adoption: Uploaded Signature Image Using IP Address:24.9.118.117 Electronic Record and Signature Disclosure: Accepted:7/19/2021 8:29:58 AM ID:f3e37196-7c99-45ac-b321-4ae67dee9d9a Company Name:Pitkin County,Colorado Mike Fowler Sent:7/15/2021 3:18:10 PM mikef@sgm-inc.com rbWkY Viewed:7/19/2021 9:40:27 AM Project Manager Signed:7/19/2021 9:40:37 AM Security Level: Email,Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address:208.72.68.35 Electronic Record and Signature Disclosure: Accepted:7/19/2021 9:41:44 AM ID:6abe46ca-43eb-4f00-8e9d-314a8458630c 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 Carbon Copy Events Status Timestamp Carbon Copy Events Status Timestamp Pitkin County Procurement COPIED Sent:7/19/2021 9:40:38 AM procurement@pitkincounty.com Resent:7/19/2021 9:40:41 AM Procurement Pitkin County Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Kim Arensdorf COPIED Sent:7/19/2021 9:40:39 AM kim.arensdorf@pitkincounty.com Viewed:7/19/2021 10:05:57 AM Administrative Specialist Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Accepted:3/8/2021 10:38:46 AM ID:9c2a70e9-b5cf-42a9-a3ca-11347aeefa13 Company Name:Pitkin County,Colorado Accounts Payable COPIED Sent:7/19/2021 9:40:39 AM AP@pitkincounty.com Accounts Payable Pitkin County Security Level: Email,Account Authentication (None) 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 7/15/2021 3:14:08 PM Certified Delivered Security Checked 7/19/2021 9:40:27 AM Signing Complete Security Checked 7/19/2021 9:40:37 AM Completed Security Checked 7/19/2021 9:40:39 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on:3/20/2020 3:28:13 PM Parties agreed to:Ted O'Brien,Mike Fowler,Kim Arensdorf 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: 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.