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PITKIN COUNTY CI,ERK'S OFFICE
CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR
S CANNING/ARCHIVING
Originating Department/Division: Pitkin County Public Works - Project Management
Contact Person: Jodi Smith, Project Mgr Phone #: 970-920-5396
Project Name
Contract #:
BOCC AGENDA ITEM
(BOCC signature required)
Check Contract Type:
Services
Maintenance
License/Use
Lease
Construction
STAFF AUTHORIZED
SIGN~ __
Grant Agreements (Requires BOCC Action)
. . Change Order/Contract Amendment
Other
STAFF AUTHORIZED SIGNATURE
(per Revised Procurement Code7/2005)
Dollar Amount: * c:~,lOI ~9~3 ~
Purchase
Employment
Intergovernmental Agreement (Requires BOCC Action)
Non Profit
__.Quasi-Public
CONTRACT#
Signatures Required:
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 Name):
Contract Start Date: ~r-_ ~/~ O~ ' Contract End Date?
Automatic Renewal (Y/N):
All Contracts should be proofed for the following:
q' No Pages Missing
~' If a Page is Left Intentionally
Blank - Note on Page
v' Page numbered consecutively
,/ All Signatures Affixed
q' All Dates Filled In
All Other Blanks Filled In
All Exhibits Attached
All Legal Descriptions Attached
(if appropriate)
Notice of Award/Proceed
Attached (if appropriate)
Sent to l~rk and Recorder for Scanning/Archiving
L
~J/ ~--~.~-~ Date: /,~2 ~,~ ~d;b'~
]~li:8~t-h, ~roj ect Manager
Signature of authorized staff person indicates 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.
pcflnj\wwXgXscannning~county contractsVtarrativeXchecklistsheet
Rcvi~ed hv ,lodi 6/12/l)5
.: ~EC,,..13, 2005.
PITKIN CNTY PUB~IC WOFK$
NO, 318
P, 2
P~ COUN]~ CIIANGF, OR{IER
Conu~ Name: l~ie,~ Master pl.. ', ,,.
Ccm~ Date,: June 10. 2005
Cl~ O,~ N;,,,,~',er:, _200S-O1RNL
CONTBACTOR:
Pitlda County
76 Sea. em Cea~r Road
~CO 81611
STAFF AUTHORIZED
SIG~R~E
1515 ,Arape~ Su-ce.t, To~n'3, ~uitm 700
l~v~r Colorado 80202
P. 30!{-292-0845
cO?'{
~ will e1{mi,,s~ one day trip to go owr coa'l estim~es th-~ is ~ntly in ~he cou~rsct scope of work,
~d use Ihat moray insr~d for an add~ 2-c~l'y ~ on D~mber ~-7, to make a pm~mtation to th~
~ c~ County Com,~iesion~ and a ~o~d -~efing with A~p~ City Counoil a~l th~ Couuty
Ceip_n,lssioners. By ~liminallng the 1-day tril~ ~o Coun~ saws $2.480 of fl~ added trip fee of $5,015
for fl~ ~ trip. This cha~ will ,,aa au. add,:fionsl services fee to the existing co~lraet in ~h~ amollIlt
of $'2,535,
Th~ Comity has reclu~ tbm P. ATL msde one ~iaition,a trip to Aspen to ~e~t C~m~mtm m~rlals ~o tiaa
"-Board o~ Co~z~ty Coumlissioner and ~hc Aspen City Council, This will add addi__t{n,,WI llme to lt~ contract
as tl~re Will be & ~i~ dehy be~ee~ Cbarre~ a~d added ~ratio~
RECEIVED TIME DEC, 13, 3:29PM
F~ 97~-9ao-,~374