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HomeMy WebLinkAboutbocc.con.275.228.4.22 CDD Contract Number: Project Name: Contractor: Budget Line Item:!#BUDGET#! - - - - Procurement Method: Type: Contract Effective Date: Contract End Date: Contract Type: Retainage/Bonding: County Representative:Melissa Knight County Rep. Phone #:(970) 429-2793 Department: Provide a brief description of the Contract or Change Order: Based on Use Based on Use 275.22 Pitkin County Contract Cover Sheet Sole Source Services/Maintenance 9/1/2022 8/31/2024 New Contract Please fully allocate New Contract Total if there are multiple codes $ - $ - $ - $ - If this is a new Vendor, please enter the New Vendor information into Munis for workflow approval and include a complete W-9. Contact Information for Pitkin County Contract/Project Lead: Contract Information HR & Risk Mgmt Contractor shall provide outpatient surgical services per the terms and rates as provided in the Agreement document. Billable services must be approved by Project Lead/County prior to payment, however, County cannot estimate annualized cost as services shall depend solely on medical demand. County shall allocate a not to exceed budget of $125,000 for the initial term, to be visited on a semi-annual or quarterly basis to evaluate the necessity for additional or reduced funding. Original Contract Amount: Contract Total: Contract Value Summary: No Rate and Provision Agreement for Outpatient Surgical Services Basalt Orthopedic Surgery Center, LLC dba The Steadman Phillipon Surgery Center $ - 42154100.551200