HomeMy WebLinkAbout911209.tiff RESOLUTION
RE: APPROVE IMPACT ASSISTANCE CONTRACT FOR AMBULANCE STATIONS WITH STATE
DEPARTMENT OF LOCAL AFFAIRS AND AUTHORIZE CHAIRMAN TO SIGN
WHEREAS, the Board cf County Commissioners of Weld County, Colorado,
pursuant to Colorado statute and the Weld County Home Rule Charter, is vested
with the authority of administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Impact Assistance Contract
for Weld County Ambulance Stations with the State Department of Local Affairs,
with said project to be completed on or before December 31, 1992, which may be
extended a maximum of twelve months, with the further terms and conditions being
as stated in said contract, and
WHEREAS, after review, the Board deems it advisable to approve said
contract, a copy of which is attached hereto and incorporated herein by
reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Impact Assistance Contract for Weld County Ambulance
Stations with the State Department of Local Affairs, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is,
authorized to sign said contract.
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 14th day of October, A.D. , 1991.
�/�� BOARD OF COUNTY COMMISSIONERS
ATTEST: gittl ja _/ WELD COUNTY, COLORADO
Weld County Clerk to the Board rd a�e •y°L
/ /' �jGo�ye y � airman
By: SUM( C Yrk�it ��
Deputy�lerk to the Board Geor Kennedy, Pro-Tem i
APPROVED AS FORM:
Constance L. Harbert
U "7".../1-1
County Attorney C. W. Kirby
440 otiJ
W. H. Webster
911209
EIAF #2516 DEPAR 1T OR AGENCY
Severance Tax NAA
CONTRACT ROUTING NUMBER
/3-3
GRANT BUDGET LINE /
/ CONTRACT 3o2,-Q ,
THIS CONTRACT, made this --7- day of Oterlt472-A--" 1991, by and between the State of
Colorado for the use and benefit of the Department of Local Affairs, 1313 Sherman Street, Denver, Colorado
80203 , hereinafter referred to as the State, and the Board of County Commissioners. County of Weld,
P. O. Box 758, Greeley, CO 80632 , hereinafter referred to as the Contractor.
WHEREAS,authority exists in the Law and Funds have been budgeted,appropriated and otherwise made
available and a sufficient unencumbered balance there o remains available for payment in Fyind Number roR.,
Appropriation Code 7 , Org. Number FAA , Contract Encumbrance Number ,gS a /O 9 ; and
WHEREAS, required approval, clearance and coordination has been accomplished from and with
appropriate agencies; and
WHEREAS, the State desires to assist local governments and political subdivisions of the State that are
experiencing social and economic impacts resulting from the development of energy resource industries in Colorado;
and
WHEREAS, pursuant to 39-29-101 to 115 C.R.S., 1982, Rep. Vol., the Local Government Severance Tax
Fund is created, which is to be administered by the Department of Local Affairs; and
WHEREAS, applications for distributions from the Local Government Severance Tax Fund have been
received by the Department of Local Affairs; and
WHEREAS, the Executive Director desires to distribute said funds pursuant to law; and
WHEREAS, the Contractor is an eligible political subdivision to receive impact assistance from the Local
Government Severance Tax Fund;
NOW THEREFORE it is hereby agreed that:
1. Area Covered. The Contractor shall perform and accomplish all the necessary work and services
provided under this Contract, as described in the attached Exhibit A, which is incorporated herein and made part
of this Contract by reference, in connection with and respecting the following area or areas: Weld County,
Colorado
2. Scope of Services. In consideration for the monies to be received from the State, the Contractor shall
do, perform, and carry out, in a satisfactory and proper manner, as determined by the State, all work elements as
indicated in the"Scope of Services", set forth in the attached Exhibit A, hereinafter referred to as the"Project". Work
performed prior to the execution of this Contract shall not be considered part of this Project.
3. Responsible Administrator. The performance of the services required hereunder shall be under the
direct supervision of Donald D. Warden , an employee or agent of Contractor,
who is hereby designated as the administrator-in-charge of this Project. At any time the administrator-in-charge is
not assigned to this Project, all work shall be suspended until the Contractor assigns a mutually acceptable
replacement administrator-in-charge and the State receives notification of such replacement assignment.
4. Time of Performance. This Contract shall become effective upon proper execution of this Contract.
The Project contemplated herein shall commence as soon as practicable after the execution of this Contract and
shall be undertaken and performed in the sequence set forth in the 'Time of Performance" in the attached Exhibit
A. Expenses incurred by the Contractor in association with said Project prior to execution of this Contract shall not
be eligible expenditures. The Contractor agrees that time is of the essence in the performance of its obligations
under this Contract, and that completion of the Project shall occur no later than the termination date set forth in the
Time of Performance.
5. Compensation and Method of Payment. The State agrees to pay to the Contractor, in consideration
for the work and services to be performed, a total amount not to exceed
$1 O E )HUNDRED
h method time of FIVE
THOUSAND AND NO/100 Dollars
payment shall be made in accordance with the "Payment Schedule" set forth in Exhibit A.
Page 1 of 6 pages O1 1 ri l l
6. ACCOUntinq. At all times from the effective date of this Contract until completion of this Project, the
Contractor shall maintain properly segregated books of State funds,matching funds,and other funds associated with
this Project. All receipts and expenditures associated with said Project shall be documented in a detailed and
specific manner, and shall accord with the "Budget" set forth in Exhibit A. Contractor may adjust budgeted
expenditure amounts up to ten percent (10%) within said Budget without approval of the State. Adjustments of
budget expenditure amounts in excess of ten percent (10%) must be authorized by the State in an amendment to
this Contract properly executed and approved pursuant to the State Fiscal Rules. In no event shall the State's total
consideration exceed the amount shown in Paragraph 5 above.
a. Unless otherwise provided in this Contract, if Exhibit A provides for more than one
payment by the State, the initial payment set forth in the Payment Schedule shall
be made as soon as practicable after proper execution of this Contract. The
Contractor shall initiate all subsequent payment requests by submitting documented
proof of proper expenditure of State funds thus far received to a contract monitor
designated by the State.
b. The Contractor shall request the final payment,which is the amount withheld by the
State until the Project is complete, for the Project by submitting to the contract
monitor a detailed costs accounting of all State funds received and expended
towards completion of the Project. Upon determining to its satisfaction that all funds received by the Contractor have been accomplish-
ment properly
of the Pro ect,the State shall promptly makeke f nal paymen to the Contractor.
c. Within ninety (90) days of completion of the Project, the Contractor shall submit
to the contract monitor a detailed cost accounting of expenditures of the final
payment received from the State. Any State funds not expended in connection with
the Project shall be remitted to the State at that time.
7. Audit. The State or its authorized representative shall have the right to inspect, examine, and audit
Contractor's records, books and accounts, including the right to hire an independent Certified Public Accountant
of the State's choosing and at the State's expense to do so. Such discretionary audit may be called for at any time
and for any reason from the effective date of this Contract until five (5) years after the date final payment for this
Project is received by the contractor, provided that the audit is performed at a time convenient to the Contractor and
during regular business hours. Whether or not the State calls for a discretionary audit as provided for in this
paragraph, if the Project is accomplished within a single fiscal year of the Contractor, the Contractor shall, at the
conclusion of the Project, and in addition to any other reports required, submit a report and auditor's statement of
the Project account to the Office of Impact Assistance in the Department of Local Affairs, Such report shall be
prepared in conjunction with Contractor's regular yearly audit, and must be submitted within six (6) months after the
close of the then current Contractor's fiscal year.
8. Personnel. The Contractor represents that he has, or will secure at his own expense, unless otherwise
stated in Exhibit A, all personnel, as employees of the Contractor, necessary to perform the work and services
required to be performed by the Contractor under this Contract. Such personnel may not be employees of or have
any contractual relationship with the State and no such personnel are eligible for any employee benefits,
unemployment compensation or any other benefits accorded to State employees and Contractor agrees to indemnify
the State for any costs for which the State may be found liable in these regards. Contractor shall pay when due all
required employment taxes and income tax withholding. All of the services required hereunder will be performed
by the Contractor or under his supervision, and all personnel engaged in the work shall be fully qualified and shall
be authorized under State and local law to perform such services.
9. Termination of Contract for Cause. If, through any cause, the Contractor shall fail to fulfill in a timely
and proper manner his obligations under this Contract, or if the Contractor shall violate any of the covenants,
agreements, or stipulations of this Contract, the State shall thereupon h P e the right to terminate this Contract for
cause by giving written notice to the Contractor of such termination andspecifying
ec in the effective date thereof, at least
five (5) days before the effective date of such termination. In that event, all finished or unfinished documents, data,
studies, surveys, drawings, maps, models, photographs, and reports or other material prepared by the Contractor
under this Contract shall, at the option of the State, become its property, and the Contractor shall be entitled to
receive just and equitable compensation for any satisfactory work completed on such documents and other
materials.
Nothwithstanding the above, the Contractor shall not be relieved of liability to the State for any damages
sustained by the State by virtue of any breach of the Contract by the Contractor, and the State may withhold any
payments to the Contractor for the purpose of setoff until such time as the exact amount of damages due the State
from the Contractor is determined. 601 7n
Page 2 of 6 Pages
10. Termination for Convenience of State. The State may terminate this Contract at any time the State
determines that the purposes of the distribution of State monies under the Contact would no longer be served by
completion of the Project. The State shall effect such termination by giving written notice of termination to the
Contractor and specifying the effective date thereof, at least twenty (20) days before the effective date of such
termination. In that event, all finished or unfinished documents and Coot act s terminated by other mterials as need in as provided
h 9
above shall, at the option of the Sate, become its property. If the
herein, the Contactor will be paid an amount which bears the same ratio to the total compensation as the services
actually performed bear to the total services of the Contactor covered
r y this
of Contract,
the less
ep covered by
ayments of
compensation previously made. dProvided,
he effective date of such termination, the Contactor shall be reimbursed
this Contract have been performed upon
(in addition to the above payment) for that portion of the actual out-of-pocket expenses (not otherwise reimbursed
under this Contract) Incurred by the Contractor during the Contract period which are directly attributable to the
uncompleted portion of the services covered by this Contact. If this Contract is terminated due to the fault of the
Contractor, Paragraph 9 hereof relative to termination shall apply.
11. Changes. The State may,from time to time, require changes in the scope of services of the Contract
to be performed hereunder. However, this Contact is intended as the complete integration of all understandings
between the parties, at this time, and no prior or contemporaneous addition, deletion, or other amendment hereto,
including any increase or decrease in the amount of monies to be paid to the Contractor, shall have any force or
effect whatsoever, unless embodied in a written contract amendment incorporating such changes executed and
approved pursuant to the State's Fiscal Rules. Notwithstanding this provision, changes in the time of performance
may be agreed to by letter if so provided for in Exhibit A, and Contractor may make adjustments of less than ten
percent (10%) in budget line items as provided for in Paragraph 6 of this Contract.
12. Reports. At least two (2) copies of all reports prepared as a result of the Project will be submitted to
the Office of Impact Assistance in the Department of Local Affairs within two(2)weeks of completion of such reports.
13. Employment Referrals. The Contactor shall accept and require that all subcontractors accept, from
either the Job Training Partnership Act Service Delivery Area employment and training agency or the Job Service
Center in the area, referrals as candidates for filling vacant job positions supported by or created as a result of funds
provided by the State under this Contact.
14. Conflict of Interest.
a. No employee of the Contractor shall perform or provide part-time services for compensation,
monetary or otherwise, to a consultant or consultant firm that has been retained by the
Contractor under the authority of this Contact.
b. The Contactor agrees that no person at any time exercising any function or responsibility
in connection with this Project on behalf of the Contactor shall have or acquire any personal
financial or economic interest, direct or indirect, which will be materially affected by this
Contract, except to the extent that he may receive compensation for his performance
pursuant to this Contract.
c. A personal financial or economic interest includes, but is not limited to:
i) any business entity in which the person has a direct or indirect monetary interest;
ii) any real property In which the person has a direct or indirect monetary interest
iii) twelv source12) mo the prioroto the ens, or 9 cution daifts te of this Contract;by or to the person within
iv) any business entity in which the person is a director,officer, general or limited partner,
trustee, employee, or holds any position of management.
For purposes of this subsection, Indirect Investment or interest means any investment or interest owned
by the spouse, parent, brother, sister, son, daughter, father-in-law, mother-in-law, brother-in-law, sister-in-law,
son-in-law, or daughter-in-law of the person by an agent on his/her bb llf by
general,
limited,
or silent
subs ant al
inartner
the person, in any business troll controlled ed said at person, his/her agent, or a relative as defined above
interest. A business entity is percent
(50led by a person Pe
possesses more than fifty percet (50%) of the ownership interest. Said person has a substantial economic interest
in a trust when the person or an above-defined relative has a present or future interest worth more than One
Thousand Dollars ($1,000.00).
Page 3 of 6 Pages 21.1 911
d. In the event a conflict of interest, as described in this Paragraph 14, cannot
be avoided without frustrating the purposes of this Contract, the person
involved in such a conflict of interest shall submit to the Contractor and the
State a full disclosure statement setting forth the details of such conflict of
interest. In cases of extreme and unacceptable conflicts of interest, as
determined by the State,the State reserves the right to terminate the Contract
for cause, as provided in Paragraph 9 above. Failure to file a disclosure
statement required by this Paragraph 14 shall constitute grounds for
termination of this Contract for cause by the State.
15. Compliance with Applicable Laws. At all times during the performance of this Contract,the Contractor
shall strictly adhere to all applicable federal and State laws that have been or may hereafter be established.
16. Severability. To the extent that this Contract may be executed and performance of the obligations of
the parties may be accomplished within the intent of the Contract, the terms of this Contract are severable, and
should any term or provision hereof be declared invalid or become inoperative for any reason, such invalidity or
failure shall not affect the validity of any other term or provision hereof. The waiver of any breach of a term hereof
shall not be construed as waiver of any other term.
17. Binding on Successors. Except as herein otherwise provided,this agreement shall inure to the benefit
of and be biding upon the parties, or any subcontractors hereto, and their respective successors and assigns.
18. Assignment. Neither party, nor any subcontractors hereto, may assign its rights or duties under this
Contract without the prior written consent of the other party.
19. Limitation to Particular Funds. The parties hereto expressly recognize that the Contractor is to be paid,
reimbursed, or otherwise compensated with funds provided to the State for the purpose of contracting for the
services provided for herein, and therefore, the Contractor expressly understands and agrees that all its rights,
demas and claims touch funds by the
State.ndIn the event thatc such fu dsoor any part thereof are not received tby the State,ingent upon rthe'pt of s
ompensatin State may immediately
terminate this Contract.
20. Minority Business Enterprise Participation. It is the policy of the State of
Col rado that orthat miofrity
its
business enterprises shall have the maximum practicable opportunity to pa pa e o
construction grant contracts. The Contractor agrees to use its best efforts to carry out this policy to the fullest extent
practicable and consistent with the efficient performance of this Contract. As used in this Contract,the term"minority
business enterprise- means a business, at least 50 percent (50%) of which is owned by minority group members or,
in the case of publicly owned businesses,at least 51 percent (51%) of the stock of which is owned by minority group
members. For the purposes of this definition, minority group members are Negroes or Black Americans,
Spanish-speaking Americans, Asian Americans, American Indians, American Eskimos and American Aleuts. The
Contractor may rely on written representations by bidders, contractors, and subcontractors regarding their status
as minority enterprises and need not conduct an independent investigation.
21. Workmen's Compensation Coverage. The Contractor is responsible for providing Workmen's
Compensation Coverage for all of its employees to the extent required by law, and for providing such coverage or
requiring its subcontractors to provide such coverage for the subcontractor's employees. In no case is the State
responsible for providing Workmen's Compensation Coverage for any employees or subcontractors of Contractor
pursuant to this Agreement, and Contractor agrees to indemnify the State for any costs for which the State may be
found liable in this regard.
22. Survival of Certain Contract Terms. Notwithstanding anything herein to the contrary, the parties
understand and agree that all terms and conditions of this contract and the exhibits and attachments hereto which
may require continued performance or compliance beyond the termination date of the contract shall survive such
termination date and shall tractor its be enforceable
by subcontractors.
se State as provided herein in the event of such failure to perform or
comply by Con
Page 4 of 6 Pages Revised 12/89
q ??:
Form 6-AC-02[1 SPECIAL, PROVISIONS
CONTROLLER'S APPROVAL
I.provision is shall not to any deemed valid t involvinguntil
it shall have b e moe approved bye e Contmller of the State of Colorado or such assistant as he may designate.This
ate
FUND AVAILABILITY budgeted and otherwise
2. Financial obligations of the State payable after the current fiscal year are contingent upon funds for that purpose being appropriated,
made available.
BOND REQUIREMENT
3. If this contract involves the payment of more than fifty thousand dollars for the construction,erection,repair,maintenance,or improvement of any building,
road,bridge, nod and sufficient band or other acceptable surety to is
viaduct,tunnel,excavation or other public works for this State,the contractor shall,before entering the performance of any such work included in this
contract,duly execute and deliver to and file with the official whose signature appears below for the State,a g
approved by said official in a penal sum not less than one-half of the total amount payable by the terms of this contract.Such bond shall be duly executed by a
provisions,provendor or other supplies used or consumed by such contractor or with ubcontract the
qualified corporate surety,conditioned for the due and faithful perforrance of the contract,and in addition,shall provide that if the contractor o his r his subcontractors
r in
nterest fail to duly pap for any labor,materials,team hire,sustenance,surety will p
performance of per
work contracted tobe done,the surety will pay the same in ed amount not exceed;ngo he claim
nsfa or of the in the
arising under this contract
rate of eight per cent per annum.Unless such bond,when so check r
equired,n executed,delivered and filed,
shall be audited,allowed or paid.A certified or cashier's check or a bank money order payable to the Treasurer o(the State of Colorado may be accepted in lieu of
bond.This provision is in compliance with 38-26-106 CRS, as amended.
INDEMNIFICATION all claim
or its al employees,
and attorney fees incurred as a result of any act or omission by the contractor, P Y
4. To the extent authorized by law,the contractor shall indemnify,save and hold harmless the State,its employees and agents, against any and a s,
damages,liability and court awards including costs,expenses,
agents, subcontractors,or assignees pursuant to the terms of this contract.
DISCRIMINATION AND AFFIRMATIVE ACTION
5. The contractor agrees to comply
with the letter and spirit of the Colorado Antidiscrimination Act of 1957,as amended,and other applicable law respecting
d as tirAction,odated April 16, 1975. Pursuanices t thereto.4thee folio ing pr RS 1982Replacement
be containe required all State contractss or sub-sub-Contracts.
and Affirma-
tive During the performance of this contract, the contractor agrees as follows.
or applicant for employment because of race,creed, are employed,r,national origin,
that employees status.
rel The contractor will not disrncal ha against any employee
religion,ancestry,mental or physical handicap,or age.The contractor will take affirmative action to insure that app
treated during employment,without regard to the above mentioned charactensucs. Such action shall include,but not be limited to the following'.employment,
upgrading,demotion,or transfer,recruitment or recruitment advertising;layoffs or terminations;rates of pay or other)forms
of compensation;and for employment noticesectioto be prof
training,including apprenticeship.The contractor agrees to post in conspicuous places,available to employees and applicants
pp
vided by the contracting officer setting forth provisions of this non-discrimination clause. state that all qualified applicants will receive
color, national origin, sex, marital status, religion, ancestry, mental or physical handicap, or
(2) The contractor will,in all solicitations or advertisementsf r employees placed by or on behalf of the contractor,
consideration for employment without regard to race,
age.
(3) The contractor will send to each labor union or representative of workers with which he has collective bargaining agreement or other contract or understand-
ing, and of the rules, regulations,ive and relevant Orders mit Governor.
ing,notice to be provided by the contracting officer,advising the labor union or workers representative of the contractor's commitment under the Executive
Order,Equal Opportunity and Affirmative Action,dated April 16,
(4) The contractor and labor unions will furnish all information and reports required by ExecutiveOrder,Equal Opportunity and Affirmative by Action of April 16,1975, ermit access to his agency and
andyt the rules,he office of theregulations
or his designee for purposes of nrvestigation and
io ascrtain compliance with such runes, regulations s,records,and sandthe
orders.
(5) A labor organization will not exclude any individual otherwise qualified from full membership rights in such labor organization.or expel any such individual
from membership in such labor organization or discriminate against any of its members in the full enjoyment of work opportunity,because of race,creed,color,
sex, national origin,or ancestry.
(6) A labor organization,or the employees or members thereof will not aid,abet,incite,compel or coerce the doing of any act defined in this contract to be is-
direcdory coobstruct
a Y act defined m this rson from
coo lying with the provisions of this contract or any order issued thereunder;or attempt either directly or
criminat
or discriminDoi01J06aPP
Revise 1/8822 page_5 of_6 _pages
Revised I/88
n if
EIAF - #2516
Form 6-AC-02C
(7) In the event of the contractor's non-compliance with the non-discrimination clauses of this contractor or with any of such rules,regulations,or orders,this
contract may be cancelled,terminated or suspended in whole or in part and the contractor may be declared ineligible for further State contracts in accordance
with procedures,authorized in Executive Order,Equal Opportunity and Affirmative Action of April 16, 1975 and the rules,regulations,or orders promulgated
in accordance therewith,and such other sanctions as may be imposed and remedies as may be invoked as provided in Executive Order,Equal Opportunity and
Affirmative Action of April 16, 1975, or by rules, regulations, or orders promulgated in accordance therewith, or as otherwise provided by law.
(8) The contractor will include the provisions of paragraph(I)through(8)in every sub-contract and subcontractor purchase order unless exempted by roles,
regulations,or orders issued pursuant to Executive Order,Equal Opportunity and Affirmative Action of April 16, 1975,so that such provisions will be binding
upon each subcontractor or vendor.The contractor will take such action with respect to any sub-contracting or purchase order as the contracting agency may
direct,as a means of enforcing such provisions,including sanctions for non-compliance;provided,however,that in the event the contractor becomes involved
in,or is threatened with,litigation with the subcontractor or vendor as a result of such direction by the contracting agency,the contractor may request the State
of Colorado to enter into such litigation to protect the interest of the State of Colorado.
COLORADO LABOR PREFERENCE
6a. Provisions of 8-17-101&102,CRS for preference of Colorado labor are applicable to this contract if public works within the State are undertaken hereun-
der and are financed in whole or in part by State funds.
b. When construction contract for a public project is to be awarded to a bidder,a resident bidder shall be allowed a preference against a non-resident bidder
from a state or foreign country equal to the preference given or required by the state or foreign country in which the non-resident bidder is a resident. If it is deter-
mined by the officer responsible for awarding the bid that compliance with this subsection.06 may cause denial of federal funds which would otherwise be avail-
able or would othewise be inconsistent with requirements of federal law,this subsection shall be suspended,but only to the extent necessary to prevent denial of
the moneys or to eliminate the inconsistency with federal requirements (section 8-19-101 and 102, CRS).
GENERAL
7. The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation,execution and enforcement of this
contract.Any provision of this contract whether or not incorporated herein by reference which provides for arbitration by any extra-judicial body or person or
which is otherwise in conflict with said laws,rules and regulations shall be considered null and void. Nothing contained in any provision incorporated herein by
reference which purports to negate this or any other special provision in whole or in part shall be valid or enforceable or available in any action at law whether by
way of complaint,defense or otherwise.Any provision rendered null and void by the operation of this provision will not invalidate the remainder of this contract to
the extent that the contract is capable of execution.
8. At all times during the performance of this Contract,the Contractor shall strictly adhere to all applicable federal and state laws,rules and regulations that
have been or may hereafter be established.
9. The signatories hereto aver that they are familiar with 18-8-301,et.seq.,(Bribery and Corrupt Influences)and 18-8-40I,et.seq.,(Abuse of Public Office),
CRS 1978 Replacement Vol., and that no violation of such provisions is present.
10. The signatories aver that to their knowledge, no state employee has a personal or beneficial interest whatsoever in the service or property
described herein:
IN WITNESS WHEREOF, the parties hereto have executed this Contract on the day first above written.
Contractor:
(Full Legal Name) BOARD OF COUNTY COMMISSIONERS, srnrE of coEORAoo
COUNTY OF W LD, LO DO ROY ROMER, GOVERNOR
�� -
BY By - -
• -' •5 EXECUTIVE DIRECTOR
Position (Title) C RMAN
CI - koo - I-13
Social Security Number or Federal t..Number/2i_Y._y/ DEPARTMENT
OF LOCAL AFFAIRS
(If Corporation:)
Attest (Seal) 4/12/1417
// �� i
< -
Corporate Secretary,or Equivalent,Town/City/ ounty Cl/h'
\/ APPROVALS
ATTORNEY GEN�., CONTROLLER
By / i i - By
C c FM rt#� —
f.istarifli tkiHiitc)' �zu�1�a.1 - -
!r mil cornices
Page 6 which is the last of 6 pages ,�,.��y
195-53-01-1030(Revised 1/89) •See instructions on reverse side. Q till' iC-inDo5,103
EXHIBIT A
SCOPE OF SERVICES AND PAYMENT SCHEDULE
stn t K?,!11
EIAF - #2516
EXHIBIT A
1. Scope of Services
The Project consists of the construction of two ambulance stations for the ambulance service
owned and operated by Weld County, Colorado (Contractor). Availability of two centrally located
stations will enable the Contractor to provide a reasonable response time in answering calls spread
geographically over a 4,000-square mile service area.
The two stations to be constructed are described as follows:
a. a 3,000-square foot ambulance station of masonry construction to be
located at 34th Street and 11th Avenue in Evans, Colorado; in addition to
two vehicle bays this station will contain a meeting room, crew living
quarters, and rest rooms; and
b. a 6,000-square foot station of masonry construction to be located at 1121
M Street in Greeley, Colorado; this station will consist of a 4-bay vehicle
area, meeting room, crew living quarters, and rest rooms.
The Contractor owns the properties on which the two stations will be constructed.
Impact Assistance funds will finance up to$125,000 in Project costs. The Contractor is expected
to provide up to$275,000 in Project financing, and in any event is responsible for all Project costs
in excess of $125,000.
Construction plans and specifications will be drawn up by an architectural firm licensed in the State
of Colorado and hired by the Contractor through a competitive selection process.
A construction contract or contracts will be awarded to a qualified construction firm or firms
through a formal public bid process with the Contractor being obligated to award the construction
contract(s) to the lowest responsible bidder(s) meeting the Contractor's specifications.
Copies of any and all contracts entered into by the Contractor in order to accomplish this Project
will be submitted to the Department of Local Affairs, Financial Assistance Services Section, upon
execution, and any and all contracts entered into by the Contractor or any of its subcontractors
shall comply with all applicable Federal and Colorado State laws and shall be governed by the laws
of the State of Colorado notwithstanding provisions therein to the contrary.
The Contractor shall comply with all applicable State and Federal laws, rules, regulations and
Executive Orders of the Governor of Colorado involving non-discrimination on the basis of race,
color, religion, national origin,age, handicap or sex. In compliance with Paragraph 5 of the Special
Provisions section of the main body of this Contract, the Contractor agrees to consider minorities
or minority businesses as employees,specialists,agents, consultants,or subcontractors under this
Contract. The Contractor may utilize the expertise of the State Minority Business Office within the
Office of the Governor for assistance in complying with the non-discrimination and affirmative action
requirements of the Contract and applicable statutes.
2. Time of Performance
The Project will commence upon the full and proper execution of this Contract.
The Project will be completed on or before December 31, 1992. However, the Project time of
performance may be extended a maximum of twelve (12) months subject to the mutual agreement
of the State and Contractor. A written request for extension shall be submitted to the State by the
Contractor at least thirty (30) days prior to December 31, 1992, and shall include a full justification
for the extension request.
Page 1 of 2 pages p 9nvi
EIAF - #2516
EXHIBIT A
3. Budget
REVENUE EXPENDITURES
Impact Assistance Funds $125,000 Construction of Two (2) $380,Oo0
Ambulance Stations
Contractor Funds 275,000
Architectural Fees 20.000
TOTAL $400,000 TOTAL $400,000
4. Payment Schedule
a. $ 25,000 Initial payment to be made within thirty (30) days of the date
of execution of this Contract.
b. 90,000 In approximately two (2) interim payments reimbursing the
Contractor for actual expenditures made in the performance
of this Contract. Payments will be based upon properly
documented financial and narrative status reports detailing
expenditures made to date.
c. 10,000 Final payment to be made upon the completion of the
Project. The Contractor will submit a final financial and
narrative status report documenting the expenditure of all
Impact Assistance funds for which payment has been
requested.
$125,000 TOTAL
All requests for payment after the first payment will be initiated by the Contractor in accordance with
the provisions in Paragraph 6 of the main body of this Contract.
5. Contract Monitoring
The Department of Local Affairs will monitor the Project on an as-needed basis.
6. Reporting Schedule
The Contractor will submit financial and narrative status reports detailing Project progress and
properly documenting all to-date expenditures of Impact Assistance funds at the time payment
requests are made, in accordance with the payment schedule.
Page 2 of 2 pages O11 r:)-‘-4
cc:STATE OF COLORADO
DEPARTMENT OF LOCAL AFFAIRS A
OFFICE OF THE EXECUTIVE DIRECTOR I �� o
1313 Sherman Street, Rm. 518 TO TH— 1 'ia�6
Denver.Colorado 80203 -
Phone(303) 866-2771
too/ Romer
Governor
Timothy W. Schultz
41 /1997
���� Executive Director
ea_ 674
Aeicht, eo �ab
RE: EIAF t#a15 l6-72/C.E'.Gf' 4LGi-f W'1 i44414 /7a
lini
Dear 7A/1,,, LU
Enclosed is your copy of the executed Impact Assistance contract
referenced above. The initial payment referenced in the contract
has been requested and should arrive within 14 days.
Please work with the contract monitor listed below for continuing
contract assistance. Thank you.
Sincerely,
6-57,111
nary L. Canish
Financial Assistance Services
Contract Monitor
Denver Office, 866-
Durango Office, 247-7311
Fort Moran Office, 867-4645
Grand Junction Office, 248-7310
00651 , Loveland Office, 679-4501
Pueblo Office, (719) 542-8239 (-1, 9n )
STATE OF COLORADO
DEPARTMENT OF LOCAL AFFAIRS of C�
Western Slope Office X44'
w
State Services Building, Room 409 I
222 South Sixth Street \* *I
Grand)unction,Colorado 81501 */
Phone(303)248-7310 -t826
Roy Romer
Governor
October 8, 1991
Mr. Donald D. Warden
Weld County Administrator
P. O. Box 758
Greeley, CO 80632
RE: EIAF #2516 - Weld County Ambulance Stations
Dear Mr. Warden,
Enclosed are four copies of the Impact Assistance contract for the above-
referenced project. Please have the Chairman of the Board of
Commissioners sign each copy on page 6 of 6 pages. In addition, an
attesting signature by the County Clerk is required on each copy. The
County's Federal I.D. number, rather than a Social Security number, should
be used for identification.
Please do not date the contracts. Send all four signed copies, with the
enclosed routing memo to:
Financial Assistance Services Section
ATTENTION: Ms. Mary Cornish
1313 Sherman Street, Room 518
Denver, CO 80203
If you have any questions, please call me, or Don Sandoval at 679-4501 in
Loveland.
Sincerely,
Mary Lou Welch
Administrative Officer
Enclosures
cc: Don Sandoval
-F CSC// 911209
STATE OF COLORADO
DEPARTMENT OF LOCAL AFFAIRS oe•Co\16
Western Slope Office N�� \Ryo
State Services Building, Room 409 0
r,
222 South Sixth Street 'e� s���al
Grand'unction,Colorado 81501
»/876•
Phone(303)2487310
Roy Romer
Governor
MEMORANDUM
TO: Mary Cornish jijc\r-
FROM: Mary Lou Welch'
THROUGH: Donald Warden, County Administrator
DATE: October 8, 1991
RE: Contract Approvals
FOR FINAL APPROVAL ROUTING (4 COPIES ENCLOSED):
EIAF #2516 - Weld County Ambulance Stations
Contractor's Federal I.D.# on file with Accounting
W-9 form sent to Contractor to complete
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