02-16-2011 LETTER FROM COLORADO HISTORICAL SOCIETY-NOTTINGHAM RESTORATIONV S
HISTORY
February 16, 2011
Mr. Matt Pielsticker
Community Development
Town of Avon
PO Box 975
Avon, CO 81620
RE: Project #2009 -M2 -004
Exterior Restoration of Nottingham Power Plant -Avon Water Wheel
Contract Period: 5/15/2009 to 5/15/2011
Dear Mr. Pielsticker:
Enclosed are three copies of the amended contract for the above project. Review the contract carefully and
call if you have any questions.
Please review the enclosed instructions (green page) prior to signing the contracts.
Return only the original 3 copies to our office as soon as possible, but no later than March 7, 2011.
Contracts received after this date will be void. When the amended contract has been fully executed an
original signature copy will be sent to you for your files.
If you would like technical information or assistance regarding your project please contact your SHF Historic
Preservation Specialist Gheda Gayou at (303) 866 -2835. If you have administrative or contractual
questions, please contact Grant Staff: Contracts Officer, Janette Vigil at (303) 866 -3067, Contracts
Coordinator, Susan Frawley at (303) 866 -3043, Contract Specialist, Bill Kraich at (303) 866 -2887, Contract
Specialist, Kathy Belyea at (303) 866 -2961, or Contract Specialist, Dawn Fenimore at (303) 866- 4028..
Sincerely,
Janette Vigil
Contracts Officer
\: \Document \12151142.doc
Approval /Cover letter for amending contracts requesting sismatures
_IVIC CENTER PLAZA 1560 BROADWAY SUITE 400 DENVER COLORADO 80202 www.historycolorado.or�
SIGNING CONTRACTS
® DQ JAM unstaple or separate the contract, (S31-W LAL 3 CONTRACTS ALM RE RETVgNEP)
® no change, alter, or remove any part of the contract. This includes the SHF Payment Request form
attached to the contract. Use the loose form to complete and return for an advance payment.
® J)D NM fill in the "date made'
or "1✓ncumbrance Number" on the CONTRACT
fist page of the contract. THIS CONTRACT, Made this day of by and
between the State of Colorado for the use and benefit of the Department of Iligher
Education, Colorado Historical Society, 1300 Broadway, Denver, Colorado 80203,
hereinafter referred to as the State and /or the Society , ......
...subsequent payment of this Contract under Encumbrance Number
Fund Number 401...
Obtain signatures and complete the requested information for the Contractor (grant recipient) on each copy of the
contract. Lines A, B, & C must be filled in, they can not be left blank. (See example belaw� Blank lines will
result in contracts being sent back for completion and could lead to delays in starting your project.
�� ' � �4'�Dl�'it'RA�.�', SIGI'(l�T,�RF�' AGE ` •;� ; > ��
THE PARTIP.S HER HAVE EXitmlTRnTHfeJ7QNTRA CT
aPereons slgning for contractor hereby ewear and affirm that they am authorized to Am an Contractor's behalf and
aclmowledge that the State 1. telying on their repteecotadona to that effect.
CONTRACTOR:
(cram Recipient)
Pikes Peak Llhraa Diatrlct
Legal Name o(Cmtnedng Endty
a ^F'.td1
'Sigrntua of Authodud Officer
® DstA Zwe
Data
RBI JonsASWtk
Print Name of Authodad Officer
STATE OF COLORADO
Bill Ritter, Jr., GOVERNOR
BY..
Eaeeutive Director m Dedgnee
Ed= C. Nichol., President
Colorado Hinotical Society
Data:
Departmental"" ..Pte..`
STATE HISTORICAL FUND
BY..
bleak Wolfe6. DhecroI
nl.etw
Print Tide of Authorized Officer Dam:
WAIVER CONTRACT REVIEWER
BY,
)mane %1A Contracts Office
State Historical Pond
Date:
ALL CONTRACTS M UST BB APPROVED BY THR STATR CONTROI.1 R
CRS 29.30.402 requires that the State Controller to approve all State Contact.. TM. Contact h not "did men
signed and dated below by the State Controller or delegate. Contractor it not authorised to begin perfoarnme
until such time If Contactor begins performing prior thereto, the Sam of Colorado is not obligated to pay
Contactor for ouch perfoamancea at for any good. and /or tervicn provided hereunder.
STATE CONTROLLER
David J. McDctmoty CPA
Susan S. Rich
CHS, Chief Financial Officer
Daa-
ae.�a4Jwn to, call
xnr rows\ nrx.tn.dm
Page 7 of 7
✓[A Obtain the signature of the appropriate
authorized officer. Be sure that the person
signing the contract has the authority to
enter into a contract on behalf of the grant
recipient.
v'TE Write in the date the contract was signed
by the appropriate authorized officer.
✓C Print the name and title of the above
signature.
Form 6- AC -02A (85/91)
Department or Agency Name
History Colorado, the Colorado I- Estorical Society
Department or Agency Number
GCA
Routing Number
APPROVED WAIVER FORM - Amendment #37
CONTRACT AMENDMENT #2009 -M2 -004 A
THIS AMENDMENT, made this day of by and between the State of
Colorado for the use and benefit of the Department of Higher Education, History Colorado, the Colorado Historical Society,
1560 Broadway, Suite 400, Denver, Colorado 80202, hereinafter referred to as the State and /or History Colorado, and the Town
of Avon, PO Box 975, Avon, Colorado 81620, hereinafter referred to as the Contractor,
FACTUAL RECITALS
Authority exists in the Law and Funds have been budgeted, appropriated and otherwise made available and a sufficient
unencumbered balance thereof remains available for payment; and
Required approval, clearance, and coordination has been accomplished from and with appropriate agencies; and
The Parties entered into a contract dated May 5, 2009, (the "Original Contract "), for SHF Project #2009 -M2 -004, wherein
the Contractor agreed to undertake the performance of certain work and services in consideration for which the State agreed to
make certain payments; and
The term of the contract is extended because the Contractor, through no fault of their own, is unable to complete the
project as required within the specified contract period as a result of unforeseen delay; and
The State and the Contractor both wish to bring the project to completion in order to fulfill the objectives of the Original
Contract.
NOW THEREFORE, it is hereby agreed that:
1. Consideration for this amendment to the original contract, C.E. Number 09M2004, Contract Routing Number N/A
Approved Waiver Form, dated May 5, 2009, consists of the payments which shall be made pursuant to this amendment and
the promises and agreements herein set forth.
2. It is expressly agreed by the parties that this Amendment is supplemental to the original contract, as amended Number
#2009 -M2 -004, dated \Iay 5, 2009, referred to as the "original contract," which is, by this reference incorporated hereith, that
all terms, conditions, and provisions thereof, unless specifically modified herein, are to apply to thus amendment as though
they were expressly rewritten, incorporated, and included herein.
3. It is agreed the original contract is and shall be modified, altered, and changed in the following respects only:
a. Provision #4 of the original contract, CONTRACT EFFECTIVE DATE, the term of the contract is EXTENDED
from May 15, 2011 extended to May 31, 2012.
b. Provision #5 of the original contract, COMPFNSATION AND METHOD OF PAYMENT, the List of Submittals are
revised as reflected in the attached Revised Exhibit C.
4. The effective date of this amendment is upon approval of the State Controller or \-larch 1, 2011, whichever is later.
5. Except for the "Special Provisions," in the event of any conflict, inconsistency, variance or contradiction between the
provisions of this Amendment, and any of the provisions of the Original Contract, the provisions of this Amendment, shall
in all respects supersede, govern, and control. The "Special Provisions" shall always be controlling over other provisions in
the contract or amendments. The representations in the Special Provisions concerning tine absence of bribery or corrupt
influences and personal interest of State employees are presently reaffirmed.
Page 1 of 2 pages
6. FINANCIAL OBLIGATIONS OF THE STATE PAYABLE AFTER THE CURRENT FISCAL YEAR ARE
CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING APPROPRIATED, BUDGETED, AND
OTHERWISE MADE AVAILABLE.
IN WITNESS WHEREOF, the parties hereto have executed this Amendment on the day first above written.
*Persons signing for Contractor hereby swear and affirm that they are authorized to act on Contractor's behalf and acknowledge
that the State is relying on their representations to that effect.
CONTRACTOR:
(Grant Recipient)
Town of Avon
Legal Name of Contracting End
*Signature of Authorized Officer
Dat
Print Name of Authorized Officer
STATE OF COLORADO
John W. Hickenlooper, GOVERNOR
BY:
Executive Director or Designee
Edward C. Nichols, President
History Colorado, the Colorado Historical Society
Date:
Department of Higher Education
STATE HISTORICAL FUND
BY:
Director or Designee
Steve W. Turner, Vice President OAHP & SHF /Deputy SHPO
A/ Q 1 Date:
6 ✓ ) 61n� rN 1 1 V 01ti WAIVER CONTRACT REVIEWER
IPrint Title of Authorized Officer
BY:
Contracts Officer or Designee
,Janette Vigil, State Historical Fund
Date:
ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER
CRS 24 -30 -202 requires that the State Controller to approve all State Contracts. This Contract is not valid
until signed and dated below by the State Controller or delegate. Contractor is not authorized to begin
performance until such time. If Contractor begins performing prior thereto, the State of Colorado is not
obligated to pay Contractor for such performances or for any goods and /or services provided hereunder.
STATE CONTROLLER
David J. McDermott, CPA
BY:
Susan S. Riehl
CHS, Chief Financial Officer.
Date:
Page 2 of 2 pages
Revised, January 11, 2011
X: \Document \12150841.doc
Approval /Contract. Amendment /Time Extension Only
Town of Avon
Exterior Restoration
Project #2009 -M2 -004
LIST OF SUBMITTALS
Project Reports
Project Reports Due Date
a. Payment Request Form (Attachment 2). N/A
Deliverables #1 -3, #15 below must be
reviewed and approved before Advance
payment is made.
b. Progress Report # 1 Received 9/7/09
c. Progress Report # 2 Received 11/16/09
d. Interim Financial Report (Attachment 1). February 1, 2011 **
Deliverables #4 -9 below must be reviewed
and approved before Interim payment is
made.
e. Progress Report # 3
f. Progress Report # 4
g. Progress Report # 5
h. Progress Report # 6
i. Progress Report # 7
j. Progress Report # 8
k. Progress Report # 9
1. Final Financial Report (Attachment 1)
Received 6/11/10
Received 7/30/10
Received 12/01/10
February 1, 2011
May 1, 2011
August 1, 2011
November 1, 2011
Exhibit C
Revised 1/12/11
Society Response
Advance payment of
grant award $7,745.
Reviewed
Reviewed
Review & Approve.
Interim payment of
grant award $9,681 plus
any approved
contingency * * **
Reviewed
Reviewed
Reviewed
Review*
Review*
Review*
Review*
November 1, 2011 * ** Review & Approve.
Final Reimbursement of
grant award $1,936 plus
any approved
contingency * * * *.
*At the discretion of the SHF technical staff, progress reports may not receive a response.
** Interim financial report due date is a guideline. Please submit Interim financial report when majority of
advance has been expended and you are ready for the next payment.
* ** Project period ends. All Deliverables due on or before this date.
Page 1 of 2 pages
Town of Avon Exhibit C
Exterior Restoration Revised 1/12/11
Project #2009 -M2 -004
* ** *Payment breakout does not include contingency. If contingency is approved, it could be added to Interun
Payment /Final Reimbursement.
PROJECT DELIVERABLES
Submit the following Project Deliverables 1 -9 before commencement of treatments (construction).
Project Deliverables
1. Before /Existing condition photos of areas affected
by Scope of Work
2. Historical photos/ documentation of areas to be treated
3. Subcontract copy — Architect/ Engineer
4. Initial Consultation with SHF Historic Preservation
Specialist within 60 days of contract start date
5. Evidence of consultation with COE /environmental agency
6. Construction Documents / Plans and Specifications
7. Subcontract copy — Archaeologist
8. Subcontract copy — Contractor
9. Preconstruction meeting with the SHF Historic
Society Response
Review /Comment and or Approve
Review /Comment and or Approve
Review /Comment and or Approve
Held /Approved
Review /Comment and or Approve
Review /Comment and or Approve
Review /Comment and or Approve
Review /Comment and or Approve
Review /Comment and or Approve
Preservation Specialist
10. Interim meeting with SHF Historic Preservation Review /Comment and or Approve
Specialist
11. OAHP Archaeological Site Forms Review /Comment and or Approve
12. Copy of Archaeological Report Review /Comment and or Approve
13. After photos of areas affected by Scope of Work Review /Comment and or Approve
14. Documentation of Professional /Public Outreach Review/ Comment and or Approve
15. Letter of Agreement/ Memorandum of Understanding Review /Comment and or Approve
(LOA /MOU) between the Grant recipient and the Property Owner
H: \Contracts \2009 \09M2004 Pathibit C revised 1.12.11.doc
Page 2 of 2 pages
Form 6- AC -02A (85/91)
Department or Agency Name
History Colorado, the Colorado Historical Society
Department or Agency Number
GCA
Routing Number
APPROVED WAIVER FORM - Amendment #37
CONTRACT AMENDMENT #2009 -M2 -004 A
THIS AMENDMENT, made this day of by and between the State of
Colorado for the use and benefit of the Department of Higher Education, History Colorado, the Colorado Historical Society,
1560 Broadway, Suite 400, Denver, Colorado 80202, hereinafter referred to as the State and /or History Colorado, and the Town
of Avon, PO Box 975, Avon, Colorado 81620, hereinafter referred to as the Contractor,
FACTUAL RECITALS
Authority exists in the Law and Funds have been budgeted, appropriated and otherwise made available and a sufficient
unencumbered balance thereof remains available for payment; and
Required approval, clearance, and coordination has been accomplished from and with appropriate agencies; and
The Parties entered into a contract dated May 5, 2009, (the "Original Contract "), for SHF Project #2009 -M2 -004, wherein
the Contractor agreed to undertake the performance of certain work and services in consideration for which the State agreed to
make certain payments; and
The term of the contract is extended because the Contractor, through no fault of their own, is unable to complete the
project as required within the specified contract period as a result of unforeseen delay; and
The State and the Contractor both wish to bring the project to completion in order to fulfill the objectives of the Original
Contract.
NOW THEREFORE, it is hereby agreed that:
1. Consideration for this amendment to the original contract, C.E. Number 09M2004, Contract Routing Number _ZA
Approved Waiver Form, dated May 5, 2009, consists of the payments which shall be made pursuant to this amendment and
the promises and agreements herein set forth.
2. It is expressly agreed by the parties that this Amendment is supplemental to the original contract, as amended Number
#2009 -M2 -004, dated May 5, 2009, referred to as the "original contract," which is, by this reference incorporated herein, that
all terms, conditions, and provisions thereof, unless specifically modified herein, are to apply to this amendment as though
they were expressly rewritten, incorporated, and included herein.
3. It is agreed the original contract is and shall be modified, altered, and changed in the following respects only:
a. Provision #4 of the original contract, CONTRACT EFFECTIVE DATE, the term of the contract is EXTENDED
from May 15, 2011 extended to May 31, 2012.
b. Provision #5 of the original contract, COMPENSATION AND METHOD OF PAYMENT, the List of Submittals are
revised as reflected in the attached Revised Exhibit C.
4. The effective date of this amendment is upon approval of the State Controller or March 1, 2011, whichever is later.
5. Except for the "Special Provisions," in the event of any conflict, inconsistency, variance or contradiction between the
provisions of this Amendment, and any of the provisions of the Original Contract, the provisions of this Amendment, shall
in all respects supersede, govern, and control. The "Special Provisions" shall always be controlling over other provisions in
the contract or amendments. The representations in the Special Provisions concerning the absence of bribery or corrupt
influences and personal interest of State employees are presently reaffirmed.
Page 1 of 2 pages
G. FINANCIAL OBLIGATIONS OF THE STATE PAYABLE AFTER THE CURRENT FISCAL YEAR ARE
CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING APPROPRIATED, BUDGETED, AND
OTHERWISE MADE AVAILABLE.
IN WITNESS WHEREOF, the parties hereto have executed this Amendment on the day first above written.
*Persons signing for Contractor hereby swear and affirm that they are authorized to act on Contractor's behalf and acknowledge
that the State is relying on their representations to that effect.
CONTRACTOR:
(Grant Recipient)
Town of Avon
Legal Name of Contracting Entity
rgnature of Autho ed Officer
as) aLo 1 I
me
�L GOV6, Lt
Print Name of Authorized Officer
0 ✓ - 16 ►kl h �h R a—n
Pfint Tide of Authorized Officer
STATE OF COLORADO
John W. Hickenlooper, GOVERNOR
BY:
Executive Director or Designee
Edward C. Nichols, President
History Colorado, the Colorado Historical Society
Date:
Department of Higher Education
STATE HISTORICAL FUND
BY:
Director or Designee
Steve W. Turner, Vice President OAHP & SHF /Deputy SIIPO
Date:
WAIVER CONTRACT REVIEWER
BY:
Contracts Officer or Designee
Janette Vigil, State Historical Fund
Date:
ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER
CRS 24 -30 -202 requires that the State Controller to approve all State Contracts. This Contract is not valid
until signed and dated below by the State Controller or delegate. Contractor is not authorized to begin
performance until such time. If Contractor begins performing prior thereto, the State of Colorado is not
obligated to pay Contractor for such performances or for any goods and /or services provided hereunder.
STATE CONTROLLER
David J. McDermott, CPA
BY:
Susan S. Riehl
CHS, Chief Financial Officer
Date:
Page 2 of 2 pages
Revised, January 11, 2011
%: \Document\ 12150841, doc
Approval /Contract Amendment /Time F- vtension Only
Town of Avon
Exterior Restoration
Project #2009 -M2 -004
LIST OF SUBMITTALS
Project Reports
Project Reports
a. Payment Request Form (Attachment 2).
Deliverables #1 -3, #15 below must be
reviewed and approved before Advance
payment is made.
b. Progress Report # 1
c. Progress Report # 2
d. Interim Financial Report (Attachment 1).
Deliverables #4 -9 below must be reviewed
and approved before Interim payment is
made.
e. Progress Report # 3
f. Progress Report # 4
g. Progress Report # 5
h. Progress Report # 6
i. Progress Report # 7
j. Progress Report # 8
k. Progress Report # 9
1. Final Financial Report (Attachment 1)
Exhibit C
Revised 1/12/11
Due Date Society Response
N/A Advance payment of
grant award $7,745.
Received 9/7/09
Reviewed
Received 11/16/09
Reviewed
February 1, 2011 **
Review & Approve.
Interim payment of
grant award $9,681 plus
any approved
contingency * * **
Received 6/11/10
Reviewed
Received 7/30/10
Reviewed
Received 12/01/10
Reviewed
February 1, 2011
Review*
May 1, 2011
Review*
August 1, 2011
Review*
November 1, 2011
Review*
November 1, 2011 * **
Review & Approve.
Final Reimbursement of
grant award $1,936 plus
any approved
contingency * * * *.
*At the discretion of the SHF technical staff, progress reports may not receive a response.
** Interim financial report due date is a guideline. Please submit Interim financial report when majority of
advance has been expended and you are ready for the next payment.
* ** Project period ends. All Deliverables due on or before this date.
Page 1 of 2 pages
Town of Avon Exhibit C
Exterior Restoration Revised 1/12/11
Project #2009 -M2 -004
* ** *Payment breakout does not include contingency. If contingency is approved, it could be added to Interim
Payment /Final Reimbursement.
PROJECT DELIVERABLES
Submit the following Project Deliverables 1 -9 before commencement of treatments (construction).
Project Deliverables
Society Response
1.
Before /Existing condition photos of areas affected
Review /Comment and or Approve
by Scope of Work
2.
Historical photos /documentation of areas to be treated
Review /Comment and or Approve
3.
Subcontract copy — Architect/ Engineer
Review /Comment and or Approve
4.
Initial Consultation with SHF Historic Preservation
Held /Approved
Specialist within 60 days of contract start date
5.
Evidence of consultation with COE /environmental agency
Review /Comment and or Approve
6.
Construction Documents / Plans and Specifications
Review /Comment and or Approve
7.
Subcontract copy — Archaeologist
Review /Comment and or Approve
8.
Subcontract copy — Contractor
Review /Comment and or Approve
9.
Preconstruction meeting with the SHF Historic
Review /Comment and or Approve
Preservation Specialist
10.
Interim meeting with SHF Historic Preservation
Review/ Comment and or Approve
Specialist
11.
OAHP Archaeological Site Forms
Review /Comment and or Approve
12.
Copy of Archaeological Report
Review /Comment and or Approve
13.
After photos of areas affected by Scope of Work
Review /Comment and or Approve
14.
Documentation of Professional /Public Outreach
Review /Comment and or Approve
15.
Letter of Agreement/ Memorandum of Understanding
Review /Comment and or Approve
(LOA /MOU) between the Grant recipient and the Property Owner
H: \Contracts \2009 \09M2004 Exhibit C mvised 1.12.11.doc
Page 2 of 2 pages
Form 6- AC -02A (85/91)
Department or Agency Name
I-Estoiy Colorado, the Colorado Fstorical Society
Department or Agency Number
GCA
Routing Number
APPROVED WAIVER FORM - Amendment #37
CONTRACT AMENDMENT #2009 -M2 -004 A
THIS AMENDMENT, made this day of by and between the State of
Colorado for the use and benefit of the Department of Higher Education, History Colorado, the Colorado Historical Society,
1560 Broadway, Suite 400, Denver, Colorado 80202, hereinafter referred to as the State and /or History Colorado, and the Town
of Avon, PO Box 975, Avon, Colorado 81620, hereinafter referred to as the Contractor,
FACTUAL RECITALS
Authority exists in the Law and Funds have been budgeted, appropriated and otherwise made available and a sufficient
unencumbered balance thereof remains available for payment; and
Required approval, clearance, and coordination has been accomplished from and with appropriate agencies; and
The Parties entered into a contract dated May 5, 2009, (the "Original Contract "), for SHF Project #2009 -1\12 -004, wherein
the Contractor agreed to undertake the performance of certain work and services in consideration for which the State agreed to
make certain payments; and
The term of the contract is extended because the Contractor, through no fault of their own, is unable to complete the
project as required within the specified contract period as a result of unforeseen delay; and
The State and the Contractor both wish to bring the project to completion in order to fulfill the objectives of the Original
Contract.
NOW THEREFORE, it is hereby agreed that:
1. Consideration for this amendment to the original contract, C.E. Number 09M2004, Contract Routing Number N/A
Approved Waiver Form, dated May 5, 2009, consists of the payments which shall be made pursuant to this amendment and
the promises and agreements herein set forth.
2. It is expressly agreed by the parties that this Amendment is supplemental to the original contract, as amended Number
#,`2009 -i\12 -004, dated \Iay 5, 2009, referred to as the `original contract," which is, by this reference incorporated herein, that
all terms, conditions, and provisions thereof, unless specifically modified herein, are to apply to this amendment as though
they were expressly rewritten, incorporated, and included herein.
3. It is agreed the original contract is and shall be modified, altered, and changed in the following respects only:
a. Provision #4 of the original contract, CONTRACT EFFECTIVE DATE, the term of the contract is EXTENDED
from May 15, 2011 extended to May 31, 2012.
b. Provision #5 of the original contract, COMPENSATION AND METHOD OF PAYMENT, the List of Submittals are
revised as reflected in the attached Revised Exhibit C.
4. The effective date of this amendment is upon approval of the State Controller or March 1, 2011, whichever is later.
5. Except for the "Special Provisions," in the event of any conflict, inconsistency, variance or contradiction between the
provisions of this Amendment, and any of the provisions of the Original Contract, the provisions of this Amendment, shall
in all respects supersede, govern, and control. The "Special Provisions" shall always be controlling over other provisions in
the contract or amendments. The representations in the Special Provisions concerning the absence of bribery or corrupt
influences and personal interest of State employees are presently reaffirmed.
Page 1 of 2 pages
6. FINANCIAL OBLIGATIONS OF THE STATE PAYABLE AFTER THE CURRENT FISCAL YEAR ARE
CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING APPROPRIATED, BUDGETED, AND
OTHERWISE MADE AVAILABLE.
IN WITNESS WHEREOF, the parties hereto have executed this Amendment on the day first above written.
*Persons signing for Contractor hereby swear and affirm that they are authorized to act on Contractor's behalf and acknowledge
that the State is relying on their representations to that effect.
CONTRACTOR:
(Grant Recipient)
Town of Avon
Legal Name of Contracting Entity
*Signature of Autho zed Officer
a .25 /Cott
Date
`?tch C*-Zeo-K
Print Name of Authorized Officer
4A U' -
Print tl of Authorized Office
STATE OF COLORADO
John W. Hickenlooper, GOVERNOR
BY:
Executive Director or Designee
Edward C. Nichols, President
History Colorado, the Colorado Historical Society
Date:
Department of Higher Education
STATE HISTORICAL FUND
BY:
Director or Designee
Steve W. Turner, Vice President OAHP & S1-11"/Deputy Sf -1P0
Date:
WAIVER CONTRACT REVIEWER
BY:
Contracts Officer or Designee
Janette Vigil, State Historical Fund
Date:
ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER
CRS 24 -30 -202 requires that the State Controller to approve all State Contracts. This Contract is not valid
until signed and dated below by the State Controller or delegate. Contractor is not authorized to begun
performance until such time. If Contractor begins performing prior thereto, the State of Colorado is not
obligated to pay Contractor for such performances or for any goods and /or services provided hereunder.
STATE CONTROLLER
David J. McDermott, CPA
BY:
Susan S. Riehl
CHS, Chief Financial Officer
Date:
Page 2 of 2 pages
Revised, January 11, 2011
X: \Document\ 12150841.doc
Approval /Contract: Amendment /Time Extension Only
Town of Avon
Exterior Restoration
Project #2009 -M2 -004
LIST OF SUBMITTALS
Project Reports
Project Reports Due Date
a. Payment Request Form (Attachment 2). N/A
Deliverables #1 -3, #15 below must be
reviewed and approved before Advance
payment is made.
b. Progress Report # 1
c. Progress Report # 2
d. Interim Financial Report (Attachment 1).
Deliverables #4 -9 below must be reviewed
and approved before Interim payment is
made.
e. Progress Report # 3
f. Progress Report # 4
g. Progress Report # 5
h. Progress Report # 6
i. Progress Report # 7
j. Progress Report # 8
k. Progress Report # 9
1. Final Financial Report (Attachment 1)
Received 9/7/09
Received 11/16/09
February 1, 2011 **
Received 6/11/10
Received 7/30/10
Received 12/01/10
February 1, 2011
May 1, 2011
August 1, 2011
November 1, 2011
Exhibit C
Revised 1/12/11
Society Response
Advance payment of
grant award $7,745.
Reviewed
Reviewed
Review & Approve.
Interim payment of
grant award $9,681 plus
any approved
contingency * * **
Reviewed
Reviewed
Reviewed
Review*
Review*
Review*
Review*
November 1, 2011 * ** Review & Approve.
Final Reimbursement of
grant award $1,936 plus
any approved
contingency * * * *.
*At the discretion of the SHF technical staff, progress reports may not receive a response.
** Interim financial report due date is a guideline. Please submit Interim financial report when majority of
advance has been expended and you are ready for the nett payment.
* ** Project period ends. All Deliverables due on or before this date.
Page 1 of 2 pages
Town of Avon
Exterior Restoration
Project #2009 -M2 -004
Exhibit C
Revised 1/12/11
* ** *Payment breakout does not include contingency. If contingency is approved, it could be added to Interim
Payment /Final Reimbursement.
PROJECT DELIVERABLES
Submit the following Project Deliverables 1 -9 before commencement of treatments (construction).
Project Deliverables
1. Before /Existing condition photos of areas affected
by Scope of Work
2. Historical photos /documentation of areas to be treated
3. Subcontract copy — Architect/ Engineer
4. Initial Consultation with SHF Historic Preservation
Specialist within 60 days of contract start date
5. Evidence of consultation with COE /environmental agency
6. Construction Documents / Plans and Specifications
7. Subcontract copy — Archaeologist
8. Subcontract copy — Contractor
9. Preconstruction meeting with the SHF Historic
Preservation Specialist
Society Response
Review /Comment and or Approve
Review /Comment and or Approve
Review /Comment and or Approve
Held /Approved
Review /Comment and or Approve
Review /Comment and or Approve
Review /Comment and or Approve
Review /Comment and or Approve
Review /Comment and or Approve
10. Interim meeting with SHF Historic Preservation Review /Comment and or Approve
Specialist
11. OAHP Archaeological Site Forms Review /Comment and or Approve
12. Copy of Archaeological Report Review/ Comment and or Approve
13. After photos of areas affected by Scope of Work Review /Comment and or Approve
14. Documentation of Professional/ Public Outreach Review /Comment and or Approve
15. Letter of Agreement/ Memorandum of Understanding Review /Comment and or Approve
(LOA /MOU) between the Grant recipient and the Property Owner
H: \Contracts \2009 \09M2004 Exhibit C revised 1.12.11.doc
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