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HomeMy WebLinkAboutbocc.con.amended.051.2017 C-6-A 2017-11-13 btf pTKIN 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 (procurement@pitkincounty.com). If not already completed, any contracts $50,000 and over will be routed for signatures to County Manager and Attorney's Office(if required)by Procurement. Contract Information Contract Number 051.2017B Task C-6 Amendment A Project Name North Star Boundary Agreement Survey Contractor SGM, Inc. Budget Line Item 118.57.02230.82230 $ Additional Budget Line $ Item(s) $ (Please fully allocate New $ Contract Total) $ Contract Start Date 8/1/2017 Contract End Date 7/31/2018 Renewal Yes ❑ No// Retainage Yes $ or % No❑X If this is a new contractor,please request they complete and submit to Finance a New Vendor Request Form. Contact Information: Depai linent Open Space & Trails County Lindsey Utter County Representative (970) 920-5224 Representative Phone Provide a brief description of the contract: Change Order to extend the end date through 7/31/2018. Contract Value Summary: Original Contract Amount $ 13,200.00 Previous Change Order/Amendment Amount $0.00 This Change order/Amendment amount $0.00 New Contract Total $ 13,200.00 Procurement Method: None ❑ Informal❑ Formal ❑x Sole Source ❑ Outside Agency ❑ Emergency ❑ Contract Type: Services/Maintenance © Construction ❑ Goods,Equipment, Supplies ❑ Change Order/Amendment ❑ Contract Renewal ❑ Other,please explain ❑ Click here to enter text. NOTE: CLERKS OFFICE WILL KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE ARCHIVES RETAINAGE SCHEDULE.ALL ATTACHMENTS MUST BE WITH THIS CHECKLIST. Contract#: 051.2017B C-6 A Rev. 2018.01.09 btf Budget Line Item#: 118.57.02230.82230 iTKIN CoFNT — CHANGE ORDER/ CONTRACT AMENDMENT Change Order Number: 051.2017B Task C-6 A OWNER: CONTRACTOR: Pitkin County, Colorado SGM Inc. 123 Emma Rd., Suite#106 118 West 6th Street, Suite 200 Basalt, CO 81621 Glenwood Spring, CO 81601 The Provision of Master Service Agreement for Provision of On-Call Engineering Services (the "Contract") dated January 1, 2017 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: Task Order C-6,North Star Boundary Agreement Survey end date is extended to July 31, 2018. Line item: 118.57.02230.82230 Lindsey Utter—Open Space and Trails Reason for Change: Additional time required to complete the project. Original budget remains the same, not to exceed $13,200. Original Contract Amount $ 13,200.00 Previous Change Order/Amendment Amount $ 0.00 This Change Order/Amendment Amount $ 0.00 New Contract Total $ 13,200.00 *Increases over$25,000 and/or 10% (single increase or accumulative)of original contract must have County Manager signature. 1 Contract#: 051.2017B C-6 A Rev. 2018.01.09 btf Budget Line Item#: 118.57.02230.82230 In all other respects, the Contract is in full force and effect and remains unchanged by this Amendment. SGM INC. Ntikc, Fow(tr Feb-26-2018 Mike Fowler Date Project Manager PITKIN COUNTY, COLORADO Liam./ U Feb-28-2018 Lindsey Utter Date Pitkin County Open Space and Trails Planning and Outreach Manager *Increases over$25,000 and/or 10% (single increase or accumulative)of original contract must have County Manager signature. 2 Docu 5i ,. - SECURED Certificate Of Completion Envelope Id:582E82FCFDE54DD88E6368CE9DA926D1 Status:Completed Subject:SGM, Inc. I Pitkin County Contract 051.2017E C-6 Amendment A Source Envelope: Document Pages:3 Signatures:2 Envelope Originator: Certificate Pages:5 Initials:0 Pitkin County Procurement AutoNav: Enabled 530 East Main Envelopeld Stamping: Disabled 2nd Floor Time Zone: (UTC-07:00)Mountain Time(US&Canada) Aspen,CO 81611 Procurement@PitkinCounty.com IP Address: 198.233.197.98 Record Tracking Status:Original Holder:Pitkin County Procurement Location: DocuSign Feb-26-2018 Procurement@PitkinCounty.com Signer Events Signature Timestamp Lindsey Utter Sent: Feb-26-2018 Lindsey.Utter@pitkincounty.com C(ndsey 144er Viewed:Feb-28-2018 Pitkin County Open Space and Trails Planning and Signed: Feb-28-2018 Outreach Manager Security Level: Email,Account Authentication Using IP Address: 198.233.197.98 (None) Electronic Record and Signature Disclosure: Accepted:Feb-28-2018 ID:4189c869-8c7e-4b5e-a207-b84ad97eb555 Company Name:Pitkin County,Colorado Mike Fowler Sent: Feb-26-2018 mikef@sgm-inc.comU, OW Viewed:Feb-26-2018 Project Manager Signed: Feb-26-2018 Security Level: Email,Account Authentication (None) Using IP Address:50.201.54.54 Electronic Record and Signature Disclosure: Accepted:Feb-26-2018 ID:b8dcb49f-d87a-4ca6-aff6-d2cfa1089204 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 Fran Soroka COPIED Sent: Feb-28-2018 fran.soroka@pitkincounty.com Viewed:Feb-28-2018 Administrative Specialist Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Carbon Copy Events Status Timestamp Accepted:Mar-30-2017 ID:c9d56941-b25d-4d28-ab5e-33cb0a868c36 Company Name:Pitkin County,Colorado Jeanette Jones COPIED Sent: Feb-28-2018 Jeanette.jones@pitkincounty.com BOCC Clerk Pitkin County Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Procurement Mailbox COPIED Sent: Feb-28-2018 procurement@pitkincounty.com Resent: Feb-28-2018 Procurement Viewed: Feb-28-2018 Pitkin County Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted Feb-28-2018 Certified Delivered Security Checked Feb-28-2018 Signing Complete Security Checked Feb-28-2018 Completed Security Checked Feb-28-2018 Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: Mar-17-2017 Parties agreed to:Lindsey Utter,Mike Fowler,Fran Soroka ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Pitkin County(we, us or Pitkin County) may be required by law to provide to you 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 to us 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 receiving 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. 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