HomeMy WebLinkAboutbocc.con.121.2003 CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR
SCANNING/ARCHIVING
Originating Department/Division: ~/~,%//C5 ~
Contacteerson:. ~_/.)c~ (~_i,~0..,.2 ~'~_. ~'~
Phone#: ¢ ~z~- D~'-i (~7) / c:5~F_~O_D 'x~
~ ~TOACFCFAGENDAITEM(BOCCsignaturereqnired) ~.~ ~9~7~// /
~' AUTHORIZED SIGNATURE (as Per procurement Code)~~ _~
Cheek Contract Type: Dollar Amount. ~
Services ' '
STAFF AUTHORIZED
SIGNATURE
~'-Maintenance
License/Use
Lease
Construction
Purchase
Employment
Intergovernmental Agreement (Requires BOCC Action)
Non Profit
Quasi-Public
__Grant Agreements (Requires BOCC Action)
Other
CONTRACT #,
~ures _g~uired:
Under 25K - Department Head
25~50K - Department Head (if appropriate), Section Leader
Over 50 K - Department Head (if appropriate), Section Leader, County Manager
Contractor/Business (Complete Nan~e):
Contract Start Date:
Automatic Renewal): Contract End Date: ..~-/~-OC:/
All Contracts should be proofed for the following:
No Pages Missing
· If a Page is Left Intentionally Blank - Note on Page
· Page numbered consecutively
· All Signatures Affixed
· All Dates Filled In
· All Other Blanks Filled In
· Ail Exhibits Attached
· All Legal Descriptions Attached (if appropriate)
· Notice of Award/Proceed Attached (if appropriate)
Sent to Clerk and Recorder for Scanning/Archiving
~u(hToo~;'~c~Staffl~erson Q~ ~--------_
Signature of authorized staff person indicate that document has been proofed and ready
for scanning.
Note: Clerk's Office will keep original documents in compliance with Colorado
State Archives retainage schedule.
pcjmj \ww\g\scannning\county contracts\narrative\checklistsheet
~NQUIREAT:RICHFIELD, MN 55423
(800)328-5901 FAX(800) 888-8813
e¢isionOne~ DEOTSZONONE CORPORATTON
TAX ID 23-2328580 DEPT CH 14055
PALATINE TL 60055
TERMS
NET 30 DAYS
02/01/04 / .....
CONTRACT
54070
1
LINDA GUSTAFS0[
PTTK'rN COUNTY COLORADO. I PITKIN OOUNTY COLORADO
PITKIN COUNTY CLERK & RECORDER
530 E MAIN ST / CO CLERK AND RECORDER
ASPEN CO 81611 ~ 530 E HAIN ST
ASPEN
,,:. ,.,,? .= ............... ~ ......
ANNUAL MAINTENANCE CHARGE TO 08/13/04
08/13/03 9709 916080 OFFDC 7540AJ MFB1100 READER PRINTER 1~539.96
STAFF AUTZ~ZOB IZED LOCATION TOTAL 1,539.96
~eceived b~
~uthoriz~~
~QUIREAT: DECISIONONE ~ 4200101 '~ 02/01 / 04 ] -E-AH052-39
6636 CEDAR AVE. SOUTH
RICHFIELD, MN 55423 PLEASE PAY THIS AMOUNT ~ $ 1,539.96
)328-5901 FAX(800) 888- 8813
%
2ONTRACTUALLY ANY NOTICE OR OTHER COMMUNICATION MUST BE IN WRITING AND MAILED TO THE "INQUIRE AT" ADDRESS INDICATED ON THIS INVOICE.
~ELLER REPRESENTS THAT HE NAS COMPLIED WiTH THE PAIR LABOR STANDARD ACT OF 1938, AS AMENDED, fN PERFORMIr~G THE SERVICES ~OVERED By THIS INVOICE.
CUSTOMER'S COPY
DECISIONONE SERVICE AGREEMENT
RENEWAL QUOTE
Account Name: PITKIN COUNTY COLORADO
Service Agreement: 0414-~4 O'~9~ ) '-/.~ ~
Rene;vaI Period: Aug- 13-2003 to Aug- 12-2004
Previous Purchase Order: LINDA GUSTAFSON
Contact Name: LINDA GUSTAFSON
Telephong: 9709205180 Ext:
Prodpct(s) Located at:
PITKIN COUNTY COLORADO
PITIC!N COUNTY CLERK & RECORDER
530 E MAIN ST
ASPEN, CO 81611
Model Serial Description/Sublocation
........ - ...... Price
7540AJ 916080 - MFB1100 READER PRINTER .......
The machine listed immediately above is metered. $1,539.96
Use Charge: $0.05 PER PRIrNT OVER 4,000/SEMI
To process this renewal, please complete the METERED EQUIPMENT ONLY section found on the Renewal
Authorization page.
* Add billing frequency fee from next page if applicable
* Add applicable tax if the eqinpment is located in any of the following
states: AR, CT,DC,FL,HI,IA,KS.LA,MS.NE,NJ, NM, NY. oH.PA.SD.TN,
TX,UT,VA,WA,WI,WV,WY
Please provide exemption certificate if the orgamzatinn is exempt in that
state.
Add Applicable tax:
Grand Total:
Advantage Support Service Agreement
(Standard)
General Terms and Conditions
~he -r~pe~, ~, ~e oa~s mm~ For reo~a~ment ---- O~ct~c~s, 3nd EqU~ment an- ~m~eten~ an~ ~n ac~ ~,~
: quipmem w~U bo mr~ ~. ~a~b~ requested. L~ne¢ R~S~ECTTo~TION~KESNo0~.~m~a~·
~?a?n s ~en~u~ent ~n~ ~ ~t~ ~bor a[O~smn~ ~ER~CEs IOEN~FlCn ~ ~RPO~ON ~ ~..=~[ WAS