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Home My WebLink Aboutbocc.con.amended.187.19 B 41NT K I N 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 187.19 B Project Name Pitkin County Library Individual Tutoring Program Contractor English in Action Budget Line Item 21035100.531000 $ $24,960.00 $Additional Budget Line $ Item(s) $ _ (Please fully allocate New Contract Total) $ Procurement Method: Sole Source Type: Services/Maintenance Contract Start Date 5/1/2019 Contract End Date 12/31/2021 Contract Type Contract Extension Retainage No If this is a new contractor, please request they complete and submit to Finance a New Vendor Request Form. Contact Information: _ Department Library County Representative Kathy Chandler County Representative (970) 429-1910 Phone Provide a brief description of the contract: 1 - Renewal of Contract term for continuation of tutoring services; and 2 - Increased funding for renewal term. Contract Value Summary: Original Contract Amount $ 22,950.00 Previous Change Order/Amendment Amount $ 24,000.00 This Change order/Amendment amount $ 24,960.00 New Contract Total $ 71,910.00 NOTE: Clerks Office will keep original documents in compliance with Colorado State Archives retainage Contract#: 187.19 Rev. 2018.06.13 btf Budget Line Item#: 21035100.531000 41)1 TKIN COUNT CHANGE ORDER/ CONTRACT AMENDMENT Change Order Number: 187.19 B OWNER: CONTRACTOR: Pitkin County, Colorado English in Action 530 E. Main St., Suite#302 PO Box 4856 Aspen, CO 81611 Basalt, CO 81621 The Provision of Pitkin County Library Individual Tutoring Program(the "Contract") dated May 16, 2019 between the Board of County Commissioners of Pitkin County, Colorado (the "County") and English in Action(the "Contractor"), is hereby amended as follows: Description of Change: 1. Renewal of Contract term through December 31, 2021 for continuation of services; and 2. Additional funding in an amount not to exceed Twenty-Four Thousand Nine Hundred Sixty Dollars and Zero cents ($24,960.00) for the renewal term. Reason for Change: 1. Renewal for continuation of tutoring services; 2. Increased funding for renewal term. Original Contract Amount $ 22,950.99 Previous Change Order/Amendment Amount $ 24,000.00 This Change Order/Amendment Amount $ 24,960.00 New Contract Total $ 71,910.99 *Increases over$25,000 and/or 10%(single increase or accumulative)of original contract must have County Manager signature. 1 Contract#: 187.19 Rev. 2018.06.13 btf Budget Line Item#: 21035100.531000 In all other respects, the Contract is in full force and effect and remains unchanged by this Amendment. ENGLISH IN ACTION (Ara S. f AAUL GIA, Aug-06-2021 Lara S. Beaulieu Date Executive Director PITKIN COUNTY, COLORADO �P` s C Aug-06-2021 Kathy Chandler Date Pitkin County Librarian *Increases over$25,000 and/or 10%(single increase or accumulative)of original contract must have County Manager signature. 2 7i r Engti sh Action .7, buileing cvmnlumty since 1994 _ —4 • HONORARY BOARD MEMBER MADELEINE ALBRIGHT INVOICE Former US Secretary of Stete BOARD OF DIRECTORS JULIE COMINS Co-Chair SUSAN LODGE Co-Chair GARY HARADA Date: July 13, 2021 Treasurer CATHERINE O'CONNELL Secretary To: Pitkin County Library SAMUEL BERNAL JEAN CAMPBELL 120 North Mill Street LISA CHILES Aspen, CO 81611 ROSA CONTRERAS PATRICK CURRY DAVID FLORIA I4ELENE GUIDE ROBERT HUBBELL Payment request: $24,960 for one-on-one English language tutoring services at ESTELA LOPEZ GUDINO LYNN NICHOLS the Pitkin County Library with Aspen workers and residents. DYNA MEI SANCHEZ NATALIE TRAVERS E ALEXANDRA YAJKO ADVISORY COUNCIL MICHELE CARDAMONE ELLEN FREEDMAN MATTHEW HAMiLTOtJ Send payment to: YUANI RUIZ EDENSTEELE STAFF English In Action LARA S BEAULIEU, P.O. Box 4856 Executive Director SHINTA DAMAYANT Basalt, CO 81621 BEATRIZ FERRUFINO ANGELA HANLE`r SARAH KELLY Attn: Lara S. Beaulieu, Executive PAULINA NAVAS Director RACHEL SCHMIDT HEATHER HICKS STUMPF FOUNDER JULIE FOX-RUBIN PO BOX 4856 BASALT,CO 81621 PH FX 970 463 9200 WWW.ENGLISHINACTION.ORG DocuSign Certificate Of Completion Envelope Id: F2A425C619DA48519AAAEEAD1E8CC725 Status:Completed Subject: English in Action I Pitkin County Change Order 187.19 B for Review and Signature Source Envelope: Document Pages:4 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:65.38.144.66 Record Tracking Status:Original Holder:Pitkin County Procurement Location: DocuSign 8/6/2021 12:57:47 PM Procurement@PitkinCounty.com Signer Events Signature Timestamp Kathy Chandler Sent:8/6/2021 12:58:59 PM Kathy.Chandler@pitkincounty.com l Viewed:8/6/2021 1:24:28 PM Pitkin County Librarian Signed:8/6/2021 1:25:05 PM Security Level: Email,Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address:65.38.144.66 Electronic Record and Signature Disclosure: Accepted:8/6/2021 1:24:28 PM ID:9aecafe0-08a6-47d 1-911 c-bc6f4ff9c99d Company Name:Pitkin County,Colorado Lara S. Beaulieu '" Sent:8/6/2021 1:25:05 PM A+lara@englishinaction.org ( a S. fajt,autitdti Viewed:8/6/2021 1:28:21 PM Executive Director Signed:8/6/2021 1:29:06 PM Security Level: Email,Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address:50.208.11.233 Electronic Record and Signature Disclosure: Accepted:8/6/2021 1:28:21 PM ID:c4afc305-d0d3-4714-af0b-403f6820c8a9 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 Pitkin County Procurement COPIED Sent:8/6/2021 1:29:07 PM procurement@pitkincounty.com Resent:8/6/2021 1:29:09 PM Procurement Viewed:8/6/2021 1:32:25 PM Pitkin County Security Level: Email,Account Authentication (None) Carbon Copy Events Status Timestamp Electronic Record and Signature Disclosure: Not Offered via DocuSign Accounts Payable COPIED Sent:8/6/2021 1:29:07 PM 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 8/6/2021 12:58:59 PM Certified Delivered Security Checked 8/6/2021 1:28:21 PM Signing Complete Security Checked 8/6/2021 1:29:06 PM Completed Security Checked 8/6/2021 1:29:07 PM 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:Kathy Chandler,Lara S.Beaulieu 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. 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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. 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