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HomeMy WebLinkAboutbocc.con.amended.116.21 A 8/30/2021 CDD 4VKIN Pitkin County COUNT' Procurement Cover Sheet @.0 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 116.21 A Project Name Aspen Airport Airfield Pavement Rehab Phase 2 Contractor Oldcastle SW Group, Inc. DBA United Companies Budget Line Item 40451150.546500 Additional Budget Line $ _ Item(s) $ (Please fully allocate New Contract Total) $ Procurement Method: Formal Type: Construction Contract Start Date 7/19/2021 Contract End Date 12/31/2021 Contract Type Change Order/Contract Amendment Retainage Yes - 5% If this is a new contractor, please enter the New Vendor information into Munis for workflow approval. Contact Information: Department Airport ',uuuLy County Representative Dan Bartholomew Representative (970) 429-2851 Provide a brief description of the Contract or Change Order: Incorporation of CCO1 through CCO4 to increase funding for actual conditions and work performed; extension of contract term to allow for completion of work, as accepted 10/20/21, and for final payment processing. Contract Value Summary: Original Contract Amount $ 1,557,521.10 Previous Change Order/Amendment Amount $This Change order/Amendment amount $ 430,134.22 Contract Total $ 1,987,655.32 Contract#: 116.21 Rev. 2021.10.26 NW Budget Line Item#:40451150.546500 i1'KIN CoFNT C�� CHANGE ORDER/ CONTRACT AMENDMENT Change Order Number: 116.21 A Covers CoR 1 -4, as sumitted by Contractor OWNER: CONTRACTOR: Pitkin County, Colorado Oldcastle SW Group, Inc. 530 E. Main St., Suite#302 dba United Companies Aspen, CO 81611 2273 River Road Grand Junction, CO 81505 The Provision of Aspen Airport Airfield Pavement Rehab Phase II (the "Contract") dated July 18, 2021 between the Board of County Commissioners of Pitkin County, Colorado (the "County") and Oldcastle SW Group, Inc. dba United Companies (the "Contractor"), is hereby amended as follows: Description of Change: 1. Extension of Contract term through December 31, 2021 to allow for invoice processing. Project has been accepted as complete/substantially completed as-of October 20, 2021 with noticing procedures commencing on November 30, 2021; retained funds are set to be released on-or-around January 3, 2022. 2. Incorporation and approval of Change Order Requests One (1) through Four(4) as attached and as approved Project Engineer, ASE Director, Contractor, and the FAA. Net increase to original Contract amount of Four-Hundred Thirty Thousand One-Hundred Thirty-Four dollars and Twenty-Two cents ($430,134.22) as summarized below. • COR-1 (9/02/2021): $289,599.20 • COR-2 (9/02/2021): $80,234.50 • COR-3 (10/08/2021): $50,084.00 • COR-4; combined(12/01/2021): $10,216.52 Reason for Change: 1. Extension of Contract term for incorporation of COR's 1-4 and to allow time for payment processing/administrative close-out *Increases over$25,000 and/or 10% (single increase or accumulative)of original contract must have County Manager signature. 1 Contract#: 116.21 Rev. 2021.10.26 NW Budget Line Item#:40451150.546500 2. Incorporation & approval of COR's 1-4 as detailed in the attached Change Order Requests Original Contract Amount $ 1,557,521.10_ Previous Change Order/Amendment Amount $ 0.00 This Change Order/Amendment Amount $430,134.22 New Contract Total $ 1,987,655.32 *Increases over$25,000 and/or 10% (single increase or accumulative)of original contract must have County Manager signature. 2 Contract#: 116.21 Rev. 2021.10.26 NW Budget Line Item#: 40451150.546500 In all other respects, the Contract is in full force and effect and remains unchanged by this Amendment. OLDCASTLE SW GROUP, INC. DBA UNITED COMPANIES �U� N V Ktb Dec-20-2021 JUSTIN VENSEL Date Estimator/Project Manager PITKIN COUNTY, COLORADO DIRECTOR APPROVAL: Da.A. l704AAO/NLW Dec-16-2021 Dan Bartholomew Date Airport Director MANAGER APPROVAL: fiAdi 'l Dec-20-2021 Rich Englehart Date Deputy County Manager *Increases over$25,000 and/or 10% (single increase or accumulative)of original contract must have County Manager signature. 3 U.S.DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM CONTRACT CHANGE ORDER NO.: 1 or SUPPLEMENTAL AGREEMENT NO.: - AIRPORT: Aspen-Pitkin County Airport DATE: August 31,2021 LOCATION: Aspen,CO AIP PROJECT NO.: 3-08-0003-058 CONTRACTOR: United Companies Project: ASE Airfield Pavement Rehab P2 You are requested to perform the following described work upon receipt of an approved copy of this document or as directed by the Engineer: Quantity Item No. Description Unit Unit Price Change Amount Total CCO1-C-105-6.1 Mobilization LS $ 26,327.20 1.00 $ 26,327.20 CCO1-P-101-5.1 Partial Depth Milling(3-Inch Nominal) SY $ 18.00 2,766.00 $ 49,788.00 CCO1-P-403-8.1 Asphalt Surface Course TON $ 380.00 467.00 $ 177,460.00 CCO1-P-603-5.4 Emulsified Asphalt Tack Coat GAL $ 12.00 277.00 $ 3,324.00 CCO1-P-620-5.1 Temporary Pavement Marking without Beads SF $ 3.00 5,450.00 $ 16,350.00 CCO1-P-620-5.2 Permanent Pavement Marking with Type III Beads SF $ 3.00 5,450.00 $ 16,350.00 This Change Order Total $ 289,599.20 Previous Change Order(s)Total $ - Original Contract Total $ 1,557,521.10 Revised Contract Total $ 1,847,120.30 The time provided for completion of the contract will increase by 7 calendar days. Recommended by: MICHAEL KRAMER 2021-09-02 Kimley-Horn and Associates,Inc. Date Concurred by: ,Y.-Sit,(Ammon, Dec-20-2021 Construction Project Manager-FAA Date Accepted by: 9(S11 J VfluS a Dec-20-2021 United Co. Date Approved by: D Q-6+0lo�.� Dec-16-2021 Aspen-Pitkin County Airport Date AIP PROJECT NO.: 3-08-0003-058 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). An additional mobilization is requested by ASE for emergency asphalt paving of severely damaged/failing pavement at TW Connectors A2,A3,A4,A6,A7,and A8.This work is required to ensure the Airport can make it through the upcoming winter without any TW closures or safety issues.The work will require approximately 467 tons of asphalt and 2,766 SY of 3-Inch depth milling. Asphalt paving limits are located outside of the RSA,adjacent to the Holding Line boundaries. Pavement in these areas were inspected by the Engineer and ASE Operations and have been prioritized to ensure airfield safety through the winter months.Additional work items include Pavement Marking,Tack Coat,and Millings salvage for maintenance. Since the original contract value and scope of work was met and agreed on by KHA,ASE,and United Co. in Pay Application No. 1,additional CCO1 work items are added for mobilization,asphalt paving,tack coat,pavement marking,and milling. Contract time is extended approximately(7)days, pending weather.Construction may be completed during the day- time hours(NOTAMS required)at TW A2 and A3,however,work at TWs A4,A6,A7,and A8 will be completed during 2200-0600.ASE Operations and RPR to conduct safety and security inspections prior to 0600 each night for airfield opening. 2. Reason(s)for the change(s). (Continue on reverse if necessary.) To ensure airfield safety,security,and operation during the busy winter months. Prolong the useful life of the asphalt pavement at TW A and the connectors. 3. Justifications for unit cost or price. Unit prices in this CCO1 are contract bid prices per United Companies Bid Package. 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 n 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 El. 9. Has this Change Order been discussed with FAA Officials? Yes X No ❑ When: August 2021 With Whom: Kristin Brownson Comments CCO1 confirmed with Kriston Brownson. KHA to schedule a follow up call with Jesse Lyman. APPROVED BY JESSE LYMAN ON 9/27/21 DURING MEETING WITH KHA. ''� TIDECOMMIES �favEI 2273 River Road 3794 County Reed 109 13124 6175 Road 964 CR C,3L IF Grand Jur) icn,CO 81505 G1rn�Aood Spngs.CO 81601 Montrose,CO 81403 TO Ode,CO 81435 ,�`*�`r (970)243-4903 5970)704.4803 1970;249.1815 (970}7 20 3775 A CAN COcIAY A CPA COMPANY ',aww.united-gj.com To: Aspen/Pitkin County Airport Contact: Address: 223 East Airport Road Phone: Aspen,CO 81611 Fax: Project Name: ASE-Airfield Pavement Rehab Phase 2 Bid Number: 21287 Project Location: Taxiway,Aspen,CO Bid Date: 7/1/2021 Addendum#: 1,2 We are pleased to propose the following: Item# Item Description Estimated Quantity Unit Unit Price Total Price CCO2-C-105- Mobilization 1.00 LS $8,000.00 $8,000.00 6.1 CCO2-P- Partial Depth Milling(3-Inch Nominal) 50.00 SY $18.00 $900.00 101.5.1 P101-5.2 Compact Reclaimed Millings(8-Inch)As Base Course 460.00 SY $15.00 $6,900.00 P403-8.1 Asphalt Surface Course 109.00 TON $380.00 $41,420.00 P603-5.4 Emulsified Asphalt Tack Coat 51.00 GAL $12.00 $612.00 CDOT 203 Unclassified Excavation 200.00 CY $52.00 $10,400.00 CDOT 216 Erosion Control Blanket 467.00 SY $7.50 $3,502.50 CDOT 604 Adjust Inlet Structure 1.00 EACH $8,500.00 $8,500.00 Total Bid Price: $80,234.50 Notes: ' This proposal is to become part of the contract documents. • If you have any questions regarding this proposal, please contact Justin Vensel at(970)243-4900.Thank You Payment Terms: Payment due within 30 days of date of invoice, regardless of when payment is made by Owner ACCEPTED: CONFIRMED: The above prices,specifications and conditions are satisfactory and Oldcastle SW Group, Inc. Dba United Companies are hereby accepted. Buyer: Aspen/ �Pi�tkin/'County Airport �U��N U`�i�`�� Signature: 7`'!-w(,L 0.4. G�.BG�i Authorized Signature: Date of Acceptance: 09/13/2021 Estimator: Justin Vensel (970) 243-4900 justin.vensel©unitedco.com 9/3/2021 12:41:58 PM Page 1 of 1 U.S.DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION ASPEN/PITKIN COUNTY AIRPORT CONTRACT CHANGE ORDER NO.: 3 or SUPPLEMENTAL AGREEMENT NO.: - AIRPORT: Aspen/Pitkin County Airport DATE: September 29,2021 LOCATION: Aspen,CO CONTRACTOR: United Companies Project: ASE Airfield Pavement Rehab P2 You are requested to perform the following described work upon receipt of an approved copy of this document or as directed by the Engineer: Item No. Description Unit Unit Price Quantity Total Amount CC03-C-105-6.1 Mobilization LS $8,000.00 1.00 $ 8,000.00 - CC03-P-101-5.1 Full Depth Pavement Sawcut(10-14 Inches) LF 40.00 78.00 $ 3,120.00 - CC03-P-101-5.2 Pavement Removal SY 180.00 36.00 $ 6,480.00 - CC03-P-101-5.3 Shape and Compact Aggregate Base SY 45.00 36.00 $ 1,620.00 - CC03-P-605-5.1 Saw and Seal PCC Joint LF 28.00 138.00 $ 3,864.00 - CC03-P-610-6.1 PCC Pad with Reinforcement,10-14 Inches SY 750.00 36.00 $ 27,000.00 - This Change Order Total $ 50,084.00- Previous Change Order(s)Total $ 369,833.70 Original Contract Total $ 1,557,530.10 Revised Contract Total $ 1,927,363.80 1,977,447.80 The time provided for completion of the contract will increase by 5 calendar days. Recommended by: MICHAEL KRAMER 2021-10-08 Kimley-Horn and Associates,Inc. Date Accepted by: �� !/Q 6 October 2021 U ed Co. / •. / Date Approved by: /�, Lt//�G(P�BC/P� October 8, 2021 Aspen-Pitkin County Airport Date CHANGE ORDER NO.: 3 AIRPORT: Aspen-Pitkin County Airport LOCATION: Aspen,CO JUSTIFICATION FOR CHANGE 1. Brief description of the proposed contract change(s)and location(s). Rutting has occurred at parking position 5 on the commercial apron due to use of a very heavy aircraft tug.CCO3 will remove the existing rutted asphalt surfacing and replace it with a Portland Cement Concrete pavement surface. Contract time is extended five(5)days for this work. Construction may be completed during daytime hours under escort by ASE Operations in the SIDA area of the Commercial Apron at Spot 5. 2. Reason(s)for the change(s). (Continue on reverse if necessary.) Pavement repair will existing rutting and mitigate further distress to improve safety. 3. Justifications for unit cost or price. Unit prices were negotiated and are believed to be fair and reasonable. 4. The sponsor's share of this cost is available from: This work will be funded with ASE Airport Funds(100%)without any FAA 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: September 28,2021 With Whom: Jesse Lyman Comments U.S.DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION ASPEN/PITKIN COUNTY AIRPORT CONTRACT CHANGE ORDER NO.: 4 or SUPPLEMENTAL AGREEMENT NO.: - AIRPORT: Aspen/Pitkin County Airport DATE: December 1,2021 LOCATION: Aspen,CO CONTRACTOR: United Companies Project: ASE Airfield Pavement Rehab P2 You are requested to perform the following described work upon receipt of an approved copy of this document or as directed by the Engineer: SCHEDULE 1-AIP ELIGIBLE WORK Contract Quantity to CCO4 Item No. Description Unit Unit Price Quantity Date Quantity Total Amount P-101-5.1 Partial Depth Milling SY $ 18.00 17,105.00 i 18,606.04 1,501.04 $ 27,018.72 P-401-8.1 Asphalt Surface Course TON $ 380.00 3,217.00 3,154.14 -62.86 $ (23,886.80) P-603-5.1 Emulsified Asphalt Tack Coat GAL $ 12.00 2,170.00 1,750.00 -420.00 $ (5,040.00) P-620-5.1 Temporary Pavement Marking SF $ 3.00 11,681.00 12,238.00 557.00 $ 1,671.00 P-620-5.2 Permanent Pavement Marking w/Type Ill Beads SF $ 3.00 11,435.00 12,168.00 733.00 $ 2,199.00 P-620-5.3 Permanent Pavement Marking W/O Beads SF $ 1.85 246.00 0.00 -246.00 $ (455.10) This Change Order Total $ 1,506.82 Previous Change Order(s)Total $ 289,599.20 Original Contract Total $ 1,557,521.10 AIP Eligible-Revised Contract Total $ 1,848,627.12 SCHEDULE 2-LOCALLY FUNDED WORK P-101-5.1 Partial Depth Milling SY $ 18.00 50.00 52.25 2.25 $ 40.50 P-101-5.2 Compact Reclaimed Millings SY $ 15.00 460.00 484.40 24.40 $ 366.00 P-401-8.1 Asphalt Surface Course TON $ 380.00 109.00 120.74 11.74 $ 4,461.20 P-603-5.1 Emulsified Asphalt Tack Coat GAL $ 12.00 51.00 50.00 -1.00 $ (12.00) CDOT-203 Unclassified Excavation CY $ 52.00 200.00 202.00 2.00 $ 104.00 CDOT-216 Erosion Control Blanket SY $ 7.50 467.00 967.00 500.00 $ 3,750.00 This Change Order Total $ 8,709.70 Previous Change Order Total $ 130,318.50 Locally Funded-Revised Contract Total $ 139,028.20 TOTAL CONTRACT VALUE(AIP PLUS LOCAL FUNDING):I $ 1,987,655.32 The time provided for completion of the contract is not impacted by this Change Order. Recommended by: MICHAEL KRAMER 12/1/2021 Kimley-Horn and Associates,Inc. Date Concurred by: ,),SS,(,HwIaiA, Dec-20-2021 t Construction Project Manager-FAA Date Dec-20-2021 Accepted by: IISTUU UfNS fl, United Co. Date Approved by: Q•4.6-, Dec-16-2021 Aspen-Pitkin County Airport Date CHANGE ORDER NO.: 4 AIRPORT: Aspen-Pitkin County Airport LOCATION: Aspen,CO JUSTIFICATION FOR CHANGE 1. Brief description of the proposed contract change(s)and location(s). This is a balancing Change Order to zero out any excess or deficient quantities reported by the RPR and Contractor (United Co.).Work was complete following CCO3(Local Funds)10/20/2021. 2. Reason(s)for the change(s). (Continue on reverse if necessary.) Balancing Change Order(CCO4)and 3 SF reduction Bid Quantity(3 SF-$9 on P-620-5.1). 3. Justifications for unit cost or price. Unit prices reflect the original contract and previous change order values. 4. The sponsor's share of this cost is available from: N/A 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: September 28,2021 With Whom: Jesse Lyman Comments U.S.DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION ASPEN/PITKIN COUNTY AIRPORT CONTRACT CHANGE ORDER NO.: 4 or SUPPLEMENTAL AGREEMENT NO.: - AIRPORT: Aspen/Pitkin County Airport DATE: December 1,2021 LOCATION: Aspen,CO CONTRACTOR: United Companies Project: ASE Airfield Pavement Rehab P2 You are requested to perform the following described work upon receipt of an approved copy of this document or as directed by the Engineer: SCHEDULE 1-AIP ELIGIBLE WORK Contract Quantity to CCO4 Item No. Description Unit Unit Price Quantity Date Quantity Total Amount P-101-5.1 Partial Depth Milling SY $ 18.00 17,105.00 i 18,606.04 1,501.04 $ 27,018.72 P-401-8.1 Asphalt Surface Course TON $ 380.00 3,217.00 3,154.14 -62.86 $ (23,886.80) P-603-5.1 Emulsified Asphalt Tack Coat GAL $ 12.00 2,170.00 1,750.00 -420.00 $ (5,040.00) P-620-5.1 Temporary Pavement Marking SF $ 3.00 11,681.00 12,238.00 557.00 $ 1,671.00 P-620-5.2 Permanent Pavement Marking w/Type Ill Beads SF $ 3.00 11,435.00 12,168.00 733.00 $ 2,199.00 P-620-5.3 Permanent Pavement Marking W/O Beads SF $ 1.85 246.00 0.00 -246.00 $ (455.10) This Change Order Total $ 1,506.82 Previous Change Order(s)Total $ 289,599.20 Original Contract Total $ 1,557,521.10 AIP Eligible-Revised Contract Total $ 1,848,627.12 SCHEDULE 2-LOCALLY FUNDED WORK P-101-5.1 Partial Depth Milling SY $ 18.00 50.00 52.25 2.25 $ 40.50 P-101-5.2 Compact Reclaimed Millings SY $ 15.00 460.00 484.40 24.40 $ 366.00 P-401-8.1 Asphalt Surface Course TON $ 380.00 109.00 120.74 11.74 $ 4,461.20 P-603-5.1 Emulsified Asphalt Tack Coat GAL $ 12.00 51.00 50.00 -1.00 $ (12.00) CDOT-203 Unclassified Excavation CY $ 52.00 200.00 202.00 2.00 $ 104.00 CDOT-216 Erosion Control Blanket SY $ 7.50 467.00 967.00 500.00 $ 3,750.00 This Change Order Total $ 8,709.70 Previous Change Order Total $ 130,318.50 Locally Funded-Revised Contract Total $ 139,028.20 TOTAL CONTRACT VALUE(AIP PLUS LOCAL FUNDING):I $ 1,987,655.32 The time provided for completion of the contract is not impacted by this Change Order. Recommended by: MICHAEL KRAMER 12/1/2021 Kimley-Horn and Associates,Inc. Date Concurred by: ,),SS,(,s ewau, Dec-2 0-2 021 t Construction Project Manager-FAA Date Accepted by: SEE ATTACHED SHEET FROM 12/7/21 United Co. Date Approved by: Q.* ,�.,olo,-. Dec-16-2021 Aspen-Pitkin County Airport Date CHANGE ORDER NO.: 4 AIRPORT: Aspen-Pitkin County Airport LOCATION: Aspen,CO JUSTIFICATION FOR CHANGE 1. Brief description of the proposed contract change(s)and location(s). This is a balancing Change Order to zero out any excess or deficient quantities reported by the RPR and Contractor (United Co.).Work was complete following CCO3(Local Funds)10/20/2021. 2. Reason(s)for the change(s). (Continue on reverse if necessary.) Balancing Change Order(CCO4)and 3 SF reduction Bid Quantity(3 SF-$9 on P-620-5.1). 3. Justifications for unit cost or price. Unit prices reflect the original contract and previous change order values. 4. The sponsor's share of this cost is available from: N/A 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: September 28,2021 With Whom: Jesse Lyman Comments UNITED AUTHORIZATION SCANNED 12/7/21 U.S.DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION ASPEN/PITKIN COUNTY AIRPORT CONTRACT CHANGE ORDER NO.: 4 or SUPPLEMENTAL AGREEMENT NO.: - AIRPORT: Aspen/Pitkin County Airport DATE: December 1,2021 LOCATION: Aspen,CO CONTRACTOR: United Companies Project: ASE Airfield Pavement Rehab P2 You are requested to perform the following described work upon receipt of an approved copy of this document or as directed by the Engineer: SCHEDULE 1-AIP ELIGIBLE WORK Contract Quantity to CCO4 Item No. Description Unit Unit Price Quantity Date Quantity Total Amount P-101-5.1 Partial Depth Milling SY $ 18.00 17,105.00 18,606.04_ 1,501.04 $ 27,018.72 P-401-8.1 Asphalt Surface Course TON $ 380.00 3,217.00 3,154.14 -62.86 P-603-5.1 Emulsified Asphalt Tack Coat GAL $ (23,886.80) $ 12.00 2,170.00 1,750.00 -420.00 $ (5,040.00) P-620-5.1 Temporary Pavement Marking SF $ 3.00 11,681.00 12,238.00 557.00 $ 1,671.00 P-620-5.2 Permanent Pavement Marking w/Type Ill Beads SF $ 3.00 11,435.00 12,168.00 733.00 _ $ 2,199.00 P-620-5.3 Permanent Pavement Marking W/O Beads SF $ 1.85 246.00 0.00 -246.00 $ (455.10), This Change Order Total $ 1,506.82 Previous Change Order(s)Total $ 289,599.20 Original Contract Total $ 1,557,521.10 AIP Eligible-Revised Contract Total $ 1,848,627.12 _ SCHEDULE 2-LOCALLY FUNDED WORK 1 P-101-5.1 Partial Depth Milling SY $ 18.00 50.00 52.25 2.25 $ 40.50 P-101-5.2 Compact Reclaimed Millings SY $ 15.00 460.00 484.40 24.40 $ 366.00 P-401-8.1 Asphalt Surface Course TON $ 380.00 109.00 120.74 11.74 $ 4,461.20 P-603-5.1 Emulsified Asphalt Tack Coat GAL $ 12.00 51.00 50.00 -1.00 $ (12.00) CDOT-203 Unclassified Excavation CY $ 52.00 200.00 202.00 2.00 $ 104.00 CDOT-216 Erosion Control Blanket SY $ 7.50 467.00 967.00 500.00 $ 3,750.00 This Change Order Total $ 8,709.70 Previous Change Order Total $ 130,318.50 Locally Funded-Revised Contract Total $ 139,028.20 TOTAL CONTRACT VALUE(AIP PLUS LOCAL FUNDING):I $ 1,987,655.32 The time provided for completion of the contract is not impacted by this Change Order. Recommended by: /< iautL FARtt,V Dec-20-2021 Kimley-Horn and Associates,Inc. Date Concurred by: ,jt,SSt,Ls ssaln, Dec-2 0-2 021 Cons tion Projec Date Accepted by: ' -'7 r2/ d Co. / Date Approved by: D.., Q.e0,o1n,.,W Dec-16-2021 Aspen-Pitkin County Airport Date UNITED AUTHORIZATION SCANNED 12/7/21 CHANGE ORDER NO.: 4 AIRPORT: Aspen-Pitkin County Airport LOCATION: Aspen,CO JUSTIFICATION FOR CHANGE 1. Brief description of the proposed contract chancels)and location(s). This is a balancing Change Order to zero out any excess or deficient quantities reported by the RPR and Contractor (United Co.).Work was complete following CCO3(Local Funds)10/20/2021. 2. Reason(s)for the chancels).(Continue on reverse if necessary.) Balancing Change Order(CC04)and 3 SF reduction Bid Quantity(3 SF-$9 on P-620-5.1). 3. Justifications for unit cost or price. Unit prices reflect the original contract and previous change order values. 4. The sponsor's share of this cost is available from: N/A 5. If this is a supplemental agreement involving more than$2,000,i:r the cost estimate based on the latest wage rate decision: Yes No o 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 o No o. 9. Has this Change Order been discussed with FAA Officials? Yes X No o When: September 28,2021 With Whom: Jesse Lyman Comments Kimley-Horn APPLICATION AND CERTIFICATE FOR PAYMENT ASPEN/PITKIN COUNTY AIRPORT ASPEN, COLORADO AIRFIELD PAVEMENT REHABILITATION —PHASE 2 AIP NO: 3-08-0003-058 AIRFIELD PAVEMENT PROJECT TITLE REHAB - PHASE 2 PROJECT NO, 096557021 CONSULTANT: KIMLEY-HORN AND ASSOCIATES CONTRACTOR: UNITED COMPANIES Application No. 3 Period From: 10/1/2021 To: 10/31/2021 Application is made for payment, as shown below, and on the attached Construction Progress Estimate Form, in accordance with the Contract Documents: Original Contract Price: $ 1,557,521.10 Approved Change Orders and Dates: CHANGE ORDER 1 (9/2/2021) [AIP] $ $289,599.20 CHANGE ORDER 2 (9/2/2021) [LOCAL] $ $80,234.50 CHANGE ORDER 3 (10/8/2021)[LOCAL] $ $50,084.00 CHANGE ORDER 4 (12/01/2021) [AIP] $ $1,506.82 (BALANCING) CHANGE ORDER 4 (12/01/2021) [LOCAL] $8,709.70 (BALANCING) TOTAL CCO4 Adjusted Contract Price $$1,987,655.32 = $10,216.52 Total Amount Due to Date (from attached Construction Progress Estimate) $$1,888,272.56 Retainage: 5% $ 99,382.76 Total Earned Less Retainage $$1,888,272.56 Less Previous Certificates for Payment $$1,840,692.76 Currently Payment Due $$47,579.80 Notice to Proceed J U LY 19, 2021 Date of Completion OCTOBER 20, 2021 Time Used 18 DAYS %complete 100 % ASPEN/PITKIN COUNTY AIRPORT C-67 CONTRACT FORMS AIRFIELD PAVEMENT REHABILITATION—PHASE 2 ISSUED FOR CONSTRUCTION C m g 8 8 8 8 8 8 T. ,8 8 8 8 8 8 8 8 8 0 8 8 8 8 8 L u T i 8 " m 8 $ 8 8 8 $ 8 8 8 $ 8 8 8 8 8 8 8 8 0 8 88 8 n - m B = m 8 8 P, R $ 8 8 8 m 8 8 8 8 8 8 8 8 8 8 8 8 8.R 8 n 2 a a a a ^ 8 a i a §. 1 1 0 & e m i m o 4 a § o o al i !; w os i „asa §g a » 11 „ s 2py2N ° m mis W — s ma F $ a "� W €3 - ^ § S^ , � : W R R o 53 R s - & i ° » n z : $ R , 8 8 ' 8. 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Ili "` I a e4 - ° a < o m .8 - $ 8. 8 8 8 8 8 8 8 8 8 8 8 8 8 » m r .' u° 8 m „ „ 111 R13 .2 „ , ; e_ i8 •g 8 0 $ § 8 8 $ 8 3 8 8. 8. 8 8 S 8 8 8 8 8 8 8$ NIa `z g a8 „ 3 „ a1 „ „ sass AS „ Ag8 » of % B aria ,,;, ti. ,3mty m ° mw .€ 888 ' ' n I €8 a n ^ 0 o00 000000o ;8 s11 = EE $8 rs tm I SE . 1 1.: \Ii4 ea PPP a Y 8 .01 v :1 g °u n 0 _ m r _ 3 € E c 3 r 3 - c ° w ctOc ue g tl 8 ," R - j1141.- 1 !1. . z 1p ; 8 LL 173 a $ ' h N 2 ppi tp3a JinEmiil U ; O sping' E . aWgat 'E wcW UL ueU < ° °� a Z Ee S ' - s o 8 ^ s ^ 5 1z F ° $ dden ei a' oo a a2 , s -- s2831 � '63d ! ! ! 220 NQ3Yds § § . § iisso 1 PERIODIC PAY APPLICATION 1(11111 ey")>H o r n ASPEN/PITKIN COUNTY AIRPORT -- ASPEN,COLORADO AIRFIELD PAVEMENT REHABILITATION PHASE 2 ASPEN/PITKIN COUNTY AIRPORT AIP PROJECT NO.:3-08-0003-058 Expect More. Experience Better. SPONSOR NAME: Board of County Commissioners of Pitkin County,Colorado KHA PROJECT NO.: 96557021 CONTRACTOR'S NAME AND ADDRESS: ASE CONTRACT NO.: 116.21 United Companies PAY APPLICATION NUMBER: 3 2273 River Road PERIOD ENDING: 10/30/2021 Grand Junction,CO 81505 %COMPLETE: 100.00% ORIGINAL CONTRACT CHANGE ORDER SUMMARY REVISED QUANTITIES TOTAL THIS PERIOD PREVIOUS TOTAL TOTAL TO DATE Item No. Description Quantity Units Unit Cost Total Cost CO Quantity Unit Cost Total Cost Quantity Unit Cost Total Cost Quantity Total Cost Quantity Total Cost Quantity Total Cost SCHEDULE 1-AIP ELIGIBLE WORK C-100-13.1 Contractor Quality Control Program 1 I LS $44,600.00 $44,600.00 $0.00 1 $44,600.00 $44,600.001 0 $0.00 1.00 $44,600.00 1 $44,600.00 100.00% C-105-6.1 Mobilization 1 LS $150,000.00 $150,000.00 1 1 $26,327.20 $26,327.20 1 $176,327.20 $176,327.20 0 $0.00 1.00 $176,327.20 1 $176,327.20 100.00% P-101-5.1 Partial Depth Milling(3-inch Nominal) 14339 SY $18.00 $258,102.00 1/4 4,267 $18.00 $76,806.72 18,606.04 $18.00 $334,908.72 0 $0.00 18,606.04 $334,908.72 18,606.04 $334,908.72 100.00% P-403-8.1 Asphalt Surface Course 2750 TON $380.00 $1,045,000.00 1/4 404 $380.00 $153,573.20 3,154 $380.00 $1,198,573.20 0 $0.00 3,154.14 $1,198,573.20 3,154.14 $1,198,573.20 100.00% P-603-5.1 Emulsified Asphalt Tack Coat 1893 GAL $12.00 $22,716.00 1/4 (143) $12.00 ($1,716.00) 1,750 $12.00 $21,000.00 0 $0.00 1,750.00 $21,000.00 1,750 $21,000.00 100.00% P-620-5.1 Temporary Pavement Marking 6231 SF $3.00 $18,693.00 1/4 6,007 $3.00 $18,021.00 12,238 $3.00 $36,714.00 0 $0.00 12,238.00 $36,714.00 12,238 $36,714.00 100.00% P-620-5.2 Permanent Pavement Marking with Type III Beads 5985 SF $3.00 $17,955.00 1/4 6,183 $3.00 $18,549.00 12,168 $3.00 $36,504.00 0 $0.00 12,168.00 $36,504.00 12,168 $36,504.00 100.00% P-620-5.3 Permanent Pavement Marking without Beads 246 SF $1.85 $455.10 4 (246) $1.85 ($455.10) 0 $1.85 $0.00 0 $0.00 0.00 $0.00 0 $0.00 100.00% TOTAL SCHEDULE 1-AIP ELIGIBLE WORK $1,557,521.10 $291,106.02 $1,848,627.12 $0.00 $1,848,627.12 $1,848,627.12 100.00% SCHEDULE 2-LOCALLY FUNDED WORK C-105-6.1 Mobilization 0 LS $0.00 $0.00 2/3 2 $8,000.00 $16,000.00 2 $8,000.00 $16,000.00 1 $8,000.00 1.00 $8,000.00 2 $16,000.00 100.00% P-101-5.1 Partial Depth Milling(3-inch Nominal) 0 SY $0.00 $0.00 2/4 52.25 $18.00 $940.50 52.25 $18.00 $940.50 0 $0.00 52.25 $940.50 52.25 $940.50 100.00% P-101-5.2 Compact Reclaimed Millings 0 SY $0.00 $0.00 2/4 484.40 $15.00 $7,266.00 484.40 $15.00 $7,266.00 0 $0.00 484.40 $7,266.00 484.40 $7,266.00 100.00% CCO3-P-101-5.1 Full Depth Pavement Saw-Cut(10-14 Inches) 0 LF $0.00 $0.00 3 78 $40.00 $3,120.00 78 $40.00 $3,120.00 78 $3,120.00 0.00 $0.00 78 $3,120.00 100.00% CCO3-P-101-5.2 Pavement Removal 0 SY $0.00 $0.00 3 36 $180.00 $6,480.00 36 $180.00 $6,480.00 36 $6,480.00 0.00 $0.00 36 $6,480.00 100.00% CC03-P-101-5.3 Shape and Compact Aggregate Base 0 SY $0.00 $0.00 3 36 $45.00 $1,620.00 36 $45.00 $1,620.00 36 $1,620.00 0.00 $0.00 36 $1,620.00 100.00% P-403-8.1 Asphalt Surface Course 0 TON $0.00 $0.00 2/4 120.74 $380.00 $45,881.20 120.74 $380.00 $45,881.20 0 $0.00 120.74 $45,881.20 120.74 $45,881.20 100.00% P-603-5.1 Emulsified Asphalt Tack Coat 0 GAL $0.00 $0.00 2/4 50 $12.00 $600.00 50 $12.00 $600.00 0 $0.00 50.00 $600.00 50 $600.00 100.00% CCO3-P-605-5.1 Saw and Seal PCC Joint 0 LF $0.00 $0.00 3 138 $28.00 $3,864.00 138 $28.00 $3,864.00 138 $3,864.00 0.00 $0.00 138 $3,864.00 100.00% CC03-P-610-6.1 PCC Pad with Reinforcement,10-14 Inches 0 SY $0.00 $0.00 3 36 $750.00 $27,000.00 36 $750.00 $27,000.00 36 $27,000.00 0.00 $0.00 36 $27,000.00 100.00% CDOT 203 Unclassified Excavation 0 CY $0.00 $0.00 2/4 202 $52.00 $10,504.00 202 $52.00 $10,504.00 0 $0.00 202.00 $10,504.00 202 $10,504.00 100.00% CDOT 216 Erosion Control Blanket 0 SY $0.00 $0.00 2/4 967 $7.50 $7,252.50 967 $7.50 $7,252.50 0 $0.00 967.00 $7,252.50 967 $7,252.50 100.00% CDOT 604 Adjust Inlet Structure 0 EA $0.00 $0.00 2 1 $8,500.00 $8,500.00 1 $8,500.00 $8,500.00 0 $0.00 1.00 $8,500.00 1 $8,500.00 100.00% TOTAL SCHEDULE 2-LOCALLY FUNDED WORK $0.00 $139,028.20 $139,028.20� $50,084.00 $88,944.20 $139,028.20 100.00% TOTAL PROJECT $1,557,521.10 $430,134.22 $1,987,655.32 $50,084.00 $1,937,571.32 $1,987,655.32 100.00% Description TOTAL TO DATE TOTAL $1,987,655.32 LESS 5%RETAINAGE ($99,382.76) SUBTOTAL $1,888,272.56 LESS PREVIOUS PAYMENTS $1,840,692.76 TOTAL AMOUNT DUE CONTRACTOR $47,579.80 CERTIFICATION OF CONTRACTOR-I HEREBY CERTIFY that the work performed and the materials supplied to date,as shown on this periodic cost estimate,represent the actual value of accomplishment under the terms of this contract in conformity with approved plans and specifications;that quantities shown were properly determined and are correct;and that there has been full compliance with all labor provisions included in the contract identified above,and in all subcontracts made under this contract,including payment of subcontractor work completed and included to date. I BY. VI.Ia t� V'v(.wtt Dec-20-2021 BY: �USTIN V AS , DeC-20-2021 Ml Chael Kramer Kimley-Horn and Associates,Inc. Date United Companies Date Kimley-Horn DBE PARTICIPATION PROGRESS REPORT PROJECT NAME: Airfield Pavement Rehabilitation—Phase 2 CONTRACTOR NAME: Oldcastle SW Group Inc dba United Companies PAYMENT APPLICATION NO.: Number 2 and 3 DATE: 11-2-2021 DBE ADDRESS WORK ITEMS DOLLAR VALUE OF DOLLAR VALUE DOLLAR VALUE OF SUBCONTRACTOR PREVIOUSLY OF WORK WORK COMPLETED NAME CLAIMED COMPLETED THIS TO DATE PERIOD CC Enterprises Gate Guards $8,475.00 $ 2,897.50 $ 11,372.50 Construction EEO Board Compliance Sanitary $2,300.00 $ 0.00 $ 2,300.00 Solutions, LLC Facility Horizon Seeding Environmental Erosion $ 0.00 $5,601.00 $5,601.00 Blanket TOTAL DBE DOLLAR $ 8,498.50 $ 19,273.50 VALUE TOTAL VALUE OF $ 8,498.50 $ 19,273.50 WORK COMPLETED TOTAL PERCENTAGE OF DBE 2.020% 0.970% PARTICIPATION ASPEN/PITKIN COUNTY AIRPORT C-75 CONTRACT FORMS AIRFIELD PAVEMENT REHABILITATION—PHASE 2 ISSUED FOR CONSTRUCTION UDITID 44�°� 4 APPLICATION FOR PAYMENT COMPANIES A C w~ Project: ASE-Airfield Pavement Rehab Phase 2 Payapp#: 3 Job#: 421213 Period Beginning: 10/18/2021 Thru: 11/1/2021 Contract This Period(1) This Period(2) This Period(3) To Date Line# Item# Item Qty Unit U.P. Total Qty Total Qty Total Qty Total Qty Total 1 C-100-13-1 Contractor Quality Control Plan 1 LS $44,600.00 $ 44,600.00 1.0 $ 44,600.00 0.0 $ - 0.0 $ - 1.0 $ 44,600.00 2 C-105-6.1 Mobilization 1 LS $150,000.00 $ 150,000.00 1.00 $ 150,000.00 0.0 $ - 0.0 $ - 1.0 $ 150,000.00 3 P-101-5.1 Partial depth Milling 14,339 SY $18.00 $ 258,102.00 15573.37 $ 280,320.66 0.0 $ - 0.0 $ - 15573.37 $ 280,320.66 4 P-401-8.1 Asphalt Surface Course 2,750 Ton $380.00 $ 1,045,000.00 2643.28 $ 1,004,446.40 0.0 $ - 0.0 $ - 2643.28 $ 1,004,446.40 5 P-603-5.1 Emulsified Asphalt tack Coat 1,893 Gal $12.00 $ 22,716.00 1500.0 $ 18,000.00 0.0 $ - 0.0 $ - 1500.0 $ 18,000.00 6 P-620-5.1 Temporary Pavement Marking 6,234 SF $3.00 $ 18,702.00 6859.0 $ 20,577.00 0.0 $ - 0.0 $ - 6859.0 $ 20,577.00 7 P620-5.2 Permanent Pavement Marking W beads 5,985 SF $3.00 $ 17,955.00 6652.0 $ 19,956.00 0.0 $ - 0.0 $ - 6652.0 $ 19,956.00 Permanent Pavement Marking W/O 8 P-620-5.3 beads 246 SF $1.85 $ 455.10 0.0 $ - 0.0 $ - 0.0 $ - 0.0 $ - 9 $ - $ - 0.0 $ - 0.0 $ - 0.000 $ - 0.0 0.00000000 Original Contract Total $ 1,557,530.10 $ 1,537,900.06 $ - $ - $ 1,537,900.06 Change Orders Col C-150-6.1 Mobilization 1 LS $ 26,327.20 $ 26,327.20 $ - 1.0 $ 26,327.20 $ - 1.0 $ 26,327.20 Col P-101-5.1 Partial depth Milling 2766.0 SY $ 18.00 $ 49,788.00 $ - 3,032.67 $ 54,588.06 $ - 3032.7 $ 54,588.06 Col P-401-8.1 Asphalt Surface Course 467.0 Ton $ 380.00 $ 177,460.00 $ - 510.86 $ 194,126.80 $ - 510.86 $ 194,126.80 Col P-603-5.1 Emulsified Asphalt tack Coat 277.0 Gal $ 12.00 $ 3,324.00 $ - 250.0 $ 3,000.00 250.0 $ 3,000.00 Col P-620-5.1 Temporary Pavement Marking 5450.0 SF $ 3.00 $ 16,350.00 0.0 $ - 5,379.0 $ 16,137.00 5379.0 $ 16,137.00 Col P-620-5.2 permanent pavement Marking W Beads 5450.0 SF $ 3.00 $ 16,350.00 0.0 $ - 5,516.0 $ 16,548.00 5516.0 $ 16,548.00 CO2 C-105.6.1 Mobilization 1.0 LS $ 8,000.00 $ 8,000.00 $ - 1.0 $ 8,000.00 $ - 1.0 $ 8,000.00 P-101-5.1 Partial depth Milling 50.0 SY $ 18.00 $ 900.00 52.25 $ 940.50 $ - 52.3 $ 940.50 P101-5.2 Compact Reclaimed Millings 460.0 SY $ 15.00 $ 6,900.00 $ - 484.4 $ 7,266.00 0.0 $ - 484.4 $ 7,266.00 P403-8.1 Asphalt Surface Course 109.0 Ton $ 380.00 $ 41,420.00 120.74 $ 45,881.20 120.74 $ 45,881.20 P603-5.1 Emulsified Asphalt tack Coat 51.0 Gal $ 12.00 $ 612.00 50.0 $ 600.00 50.0 $ 600.00 CDOT 203 Unclassified Excavation 200.0 CY $ 52.00 $ 10,400.00 202.0 $ 10,504.00 202.0 $ 10,504.00 CDOT 216 Erosion Control Blanket 467.0 SY $ 7.50 $ 3,502.50 967.0 $ 7,252.50 0.0 $ - 967.0 $ 7,252.50 CDOT 604 Adjust Inlet Structure 1.0 EA $ 8,500.00 $ 8,500.00 1.0 $ 8,500.00 0.0 $ - 1.0 $ 8,500.00 $ - $ - 0.0 $ - CO-3 C-105-6.1 Mobilization 1.0 LS $ 8,000.00 $ 8,000.00 1.0 $ 8,000.00 1.0 $ 8,000.00 P-101-5.2 Full Depth Pavement Sawcut 78.0 LF $ 40.00 $ 3,120.00 78.0 $ 3,120.00 78.0 $ 3,120.00 P-101-5.2 Pavement Removal 36.0 SY $ 180.00 $ 6,480.00 36.0 $ 6,480.00 36.0 $ 6,480.00 P-101-5.2 Shape and Compact Aggregate Base Course 36.0 SY $ 45.00 $ 1,620.00 36.0 $ 1,620.00 36.0 $ 1,620.00 P-605-5.1 Saw and Seal PCC Joint 138.0 LF $ 28.00 $ 3,864.00 138.0 $ 3,864.00 138.0 $ 3,864.00 P-605-6.1 PCC Pad with Reinforcement 36.0 SY $ 750.00 $ 27,000.00 36.0 $ 27,000.00 36.0 $ 27,000.00 0.0 $ - $ - 0.0 $ - Total Change Orders: $ 419,917.70 $ - $ 346,487.56 $ 50,084.00 $ 449,755.26 New Contract Amount $ 1,977,447.80 Total to Date $ 1,537,900.06 $ - $ - $ 1,987,655.32 Less Retainage $ 1,537,900.06 $ - $ - 5% $ (99,382.77) I Net Due $ 1,888,272.55 Page 1 of 1 DocuSign Certificate Of Completion Envelope Id:8A2131D3DAE1427E9AF14FDBB2007C43 Status:Completed Subject: United Companies I Pitkin County Change Order 116.21 A for Review and Signature Source Envelope: Document Pages:20 Signatures: 17 Envelope Originator: Certificate Pages:6 Initials: 1 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 12/13/2021 2:28:42 PM Procurement@PitkinCounty.com Signer Events Signature Timestamp Dan Bartholomew Sent: 12/13/2021 3:53:50 PM dan.bartholomew@aspenairport.com ° °` '°°" "' Viewed: 12/16/2021 12:27:23 PM Airport Director Signed: 12/16/2021 12:28:55 PM Aspen/Pitkin County Airport Security Level: Email,Account Authentication Signature Adoption: Pre selected Style (None) Using IP Address:65.38.144.66 Electronic Record and Signature Disclosure: Not Offered via DocuSign Michael Kramer II �� Sent: 12/16/2021 12:28:57 PM Michael.Kramer@kimley-horn.com M.t v'a t P Viewed: 12/20/2021 7:42:31 AM Security Level: Email,Account Authentication Signed: 12/20/2021 7:43:43 AM (None) Signature Adoption: Pre-selected Style Using IP Address:208.127.245.2 Electronic Record and Signature Disclosure: Accepted: 12/20/2021 7:42:31 AM ID:f5d90255-bb39-4980-a60d-1b60afb46966 Company Name:Pitkin County,Colorado JUSTIN VENSEL Sent: 12/20/2021 7:43:45 AM justin.vensel@unitedco.com jtJSN UfNSf(, Viewed: 12/20/2021 8:08:53 AM Estimator/Project Manager Signed: 12/20/2021 8:10:11 AM Security Level: Email,Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address:68.177.139.98 Electronic Record and Signature Disclosure: Accepted: 12/20/2021 8:08:53 AM ID:b697bbf6-2395-4bd7-ab99-49e4a8963fd3 Company Name:Pitkin County,Colorado Jesse Lyman Sent: 12/20/2021 8:10:14 AM marc.c.miller@faa.gov jt-SSt, biwiaJn, Viewed: 12/20/2021 8:27:19 AM Security Level: Email,Account Authentication Signed: 12/20/2021 8:51:29 AM (None) Signature Adoption: Pre-selected Style Using IP Address: 162.58.82.135 Electronic Record and Signature Disclosure: Signer Events Signature Timestamp Accepted: 12/20/2021 8:27:19 AM ID: 146d5459-e060-44af-b5b5-c9143650fec0 Company Name:Pitkin County,Colorado Rich Englehart �,�� � Sent: 12/20/2021 8:51:31 AM rich.englehart@pitkincounty.com K fa"'D""f� Viewed: 12/20/2021 9:01:53 AM Deputy County Manager Signed: 12/20/2021 9:02:35 AM Pitkin County Signing Group:County Manager Group Signature Adoption: Pre-selected Style Security Level: Email,Account Authentication Using IP Address:73.34.180.169 (None) Electronic Record and Signature Disclosure: 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 Pitkin County Procurement COPIED Sent: 12/20/2021 9:02:38 AM procurement@pitkincounty.com Resent: 12/20/2021 9:02:42 AM Procurement Viewed: 12/20/2021 9:26:11 AM Pitkin County Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Accounts Payable COPIED Sent: 12/20/2021 9:02:38 AM AP@pitkincounty.com Viewed: 12/20/2021 9:04:40 AM Accounts Payable Pitkin County Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Evelyn Cruz COPIED Sent: 12/20/2021 9:02:39 AM evelyn.cruz@aspenairport.com Viewed: 12/20/2021 9:13:24 AM Aspen/Pitkin County Airport Security Level: Email,Account Authentication (None) 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 12/13/2021 3:53:50 PM Envelope Summary Events Status Timestamps Certified Delivered Security Checked 12/20/2021 9:01:53 AM Signing Complete Security Checked 12/20/2021 9:02:35 AM Completed Security Checked 12/20/2021 9:02:39 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:Michael Kramer,JUSTIN VENSEL,Jesse Lyman, Evelyn Cruz 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. 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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.