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CLERK'S CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR
SCANNINGf ARCHIVING
CONTRACT #: 010 . ~~ A
Originating Department/Division: Public WorksfPM
Contact Person: Jodi Smi~Facilities Man)ll;er
Project Name {!jJ? M &3 I.rJj ~ c;-
o BOCC AGENDA ITEM @STAFF AUTHORIZED SIGNATURE
(HOCC signature required) (per Revised Procurement Code 7/2005)
Phone #: x5396
Check procurement~pe:
ONone OInformal \A[Formal OSole Source OEmergency OState Bid 0
Check Contract Tvpe:
Dollar Amount: $
Budget Line ItemlLedger Number
OServicesfMaintenance OEmployment (for county employees)
OLicensefUse OIntergovernmental Agreement (Requires BOCC Action)
OLease ONon-Profit
OConstruction OQuasi-Public
OGoods, Equipment, Supplies ~ant Agreements (Requires BOCC Action)
OOther (e.g. revenue) ~ontract Amendment
ContractorfBusiness (Complete Name):
Contract Execution Date: 9- Z{, -D'
Automatic Renewal ~N X)
Contract End Date:
Term of Contract:na year(s)
All Contracts should be proofed for the following:
XONo Pages Missing
XOIf a Page is Left Intentionally Blank -Note on Page
XOPage numbered consecutively
XOAll Signatures Affixed
XOAll Dates Filled In
XOAll Other Blanks Filled In
XOAll Exhibits Attached
XOAll Legal Descriptions Attached (if appropriate)
XONotice of Award/Proceed Attached (if appropriate) /:"1)
XOSpecial Instructions for Finance Department: -& CYv~ I
XOSent to Clerk and Recorder for Scanning! Archiving
XOAuthorized Staff Person's Name: Jodi Smith
BY CHECKING ABOVE AND ENTERING NAME, THE 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.
Amended 5-12-06
I
09/26/2006 17:37 FAX 970 945 7574 STARK ROOFING
Sep 26 2006 3:28PM Pitkin Count~
970-9Z0-5285
~001
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~9~ - O&'llt{,
Rev.llliI21I115J.
PITKIN COUNTY
CONTRACTA~NDMENT
Projec1lPurchase Contract # 070-:4006
Line Item AccOWlt #0010. I 8.92818.86286
Co fJT1tAc-'\"
* (/10. ;).OtJ/P A
The Courthouse Plaza Re.Roof Project (the "Agreement") dated May 10, 2006 between
Pitkin COWlty (the "County") and Stark: Roofing &. Sheet Metal, Inc. (the "Contractor"), i5
hereby amended lIS follows: Change Order(s) for added work. required to complete the project
Change Order #1: Replacement of de~iorated existing taper to include the fgRowing:
1. North end TOofhatch west of batch - 4805f.
2. Hatch area- 160sf
3. West side - nOsf
4. South drain area - 144sf
S. Replacelnent offai!ing natural gal; pipe stand5
$1440.00
$ 480.00
S 960.00
$ 432.00
S 670.00
$3,982.00
Change Order #2: Added retrofit worlc required for repair5 on the duct work a5 follow.:
I. 4xlOxl duct board S 936.48
2. Duct Clips S 44.40
3. Duct Sealant S 94.76
4. Additiolllll Labor costs $123S.00
$2,310.00
Total Change Order Cost to Projegt and thi5 Amendment: tB6,292.~
In all other respects the Agreement is in full force and effect and remains unchanged by
this Amendment.
J::XECUTED thi5 26th day of September 2006:
PITXIN~O~: ~
.._--,;'\....!v... P .
By: Jodi Smith, Project Manager
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By:
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