20.12.17 PSA Altius Physical Therapy & Wellness LLCContract Archive Submittal Form
A
Avon
C O L O R A D O
All contracts must receive prior review and approval by the Town Attorney, INCLUDING all exhibits, attachments and scope of work. Check with the Town Attorney to verify
the correct contract form to be used.
Instructions
Document Title: * 20.12.17 PSA Altius Physical Therapy & Wellness LLC
Upload Contract* PDF Only
Vendor / Other Party Name-.*
Contract Start Date:
Contract End Date: *
Department: *
06pgrt h6ryernment
responsible
for
the
contract:
Contract Notification Recipients 1:
Name: *
Elizabeth Wood
Days:
Advance E-mail Notification of 15
Expiration of Contract:
Financial:
Special Terms:
Name:
Altius.pdf 1.24MB
Altius Physical Therapy & Wellness LLC
3/11/2020
12/31/2020
Email Address:*
ewood@avon.org
Email Address:
Recipients Name:* Recipients Email Address:
Elizabeth Wood ewood@avon.org
Contract Budget Amount: Budget Line Item:
$ 5,000.00
Exhibit 1
Certificate needed:*
Council Action Required:*
County Recording Required*
Comments:
Do have any additional Documents you would like to
upload
Phone Number: *
970-748-4087
List any special terms that are unusual and require review or another negotiating point prior to expiration.
Attach Exhibit:
PDF Only
No
No
No
Avon
Letter of Agreement
Between
Altnrs Physical Therapy & Wellness LLC and Town of Avon, Colorado
Airs Sarah Fiielson
Ai, irs Ph�s!iai ,& 11e'rness l LL
160 4%, B("Iver Cf(\,k Bird
Avon. CO 816;0
De.3r V.-, Ei ofNon
The To�%n of Anon Is p'O,Ised to plo, ldo COVIO 19 Business Relief Funds to Althus Physical Therapy & Wellness LLC .n
fs: a! year Your is ,rnportant to the Avon community and the vibrancy of Avon's economy The Avon Town
has deternrned suppontaig and maintaining a strong business community serves a vital public purpose The Avon
T �%n COunC:l has Kknowledged the hardship faced by many small businesses in Avon resulting from the COVID-19
pa^dem:c
The pur.ose of th;s Letter of Agreement (Agreement) is to formalize the understandings for the Town of Avon s financial
contr:bJ',:cn
Business: Altius Physical Therapy & Wellness LLC
Project DOLA Coronavirus Relief Fund Program (CVRF)
Town of Avon Contribution: Five thousand dollars ($5,000)
Funding Period: March 1, 2020 — December 30, 2020
Use of Funds By accepting the funding, you, as the CVRF recipient, agree to spend the funds for expenses related to the
public health emergency with respect to Coronavirus Disease 2019 (COVID-19), which expenses include cleaning and
medical supplies, personal protective equipment, rent, payroll and administrative costs that would not have been incurred
but for the pandemic. Funding for the program was approved by the Town Council on November 10, 2020 using funds from
the CARES Act fund authorized under Section II of Governor Polis' Executive Order 2020 081 May 12, 2020. All funds must
be used to cover business interruption expenses incurred between March 1, 2020 and December 30, 2020 Please see
Attachment A- CVRF Categories for a list of qualified expenses.
Documentation:
Recipient shall retain documentation on all uses of the funds, including invoices, sales receipts, time and effort reporting,
data and financial records and any other documentation that establishes compliance for up to five years after final payment
is made using CVRF funds. Recipient shall also submit the same documentation to the town by December 15, 2020 and
understands that funds will not be distributed until such documentation has been provided and has been approved.
Please see Attachment A- CVRF Categories. Please indicate the category (7a - 7r) for qualified expenses incurred by your
business between March 1 — December 30, 2020.
CVRF Category: — __7A and 7M__
I ritvr of Af;revriwnt {'.ivv i
Please provide a detailed description of how you spent these funds between March 1, 2020 and December 30,
S4,252 22 for rent r1 rpt for A',tr h 1 ; 2020.
t�,'h (?ecemhr. r 16 AVO ,ind 5840 i4 for PPE and sarntr/rng supplies between March
1, 2020-0eceo�ber 16 � 1�� l� C �-� b�Ce.�,0 � S ��� C(.fir%rVLI-(�,�7 �(. ��iG�.Q
Town of Avon Responsibilities `01
• The Ge�10'a' �;,,<<`rnmc'nt iNI m, mor, Ineke de Jong, is responsible for facilitating payment to Altus Physical Therapy &
4%e' !,ess
N; th;na contained in this Agwcnient shall constitute or designate Allius Physical Therapy & Wellness LLC or any of its
ennp;oyees as employees of the Town of Avon, and thereby, Altius Physical Therapy & Wellness LLC, its subcontractors or
any person d rectly or indirectly employed by it are not entitled to Town of Avon worker's compensation benefits or any
benefit contemp!ated by a Town of Avon employer/employee relationship.
The Parties understand and acknowledge that the Town is subject to Article X, § 20 of the Colorado Constitution (TABOR").
The Parties do not intend to violate the terms and requirements of TABOR by the execution of this Agreement. It is
understood and agreed that this Agreement does not create a multi -fiscal year direct or indirect debt or obligation within the
mean;ng of TABOR and, therefore, notwithstanding anything in this Agreement to the contrary, all payment obligations of the
Town are expressly dependent and conditioned upon the continuing availability of funds beyond the term of the Avon's
current fiscal period ending upon the next succeeding December 31. Financial obligations of the Town payable after the
current fiscal year are contingent upon funds for that purpose being appropriated, budgeted, and otherwise made available
in accordance with the rules, regulations, and resolutions of Town of Avon, and other applicable law. Upon the failure to
appropriate such funds, this Agreement shall be terminated.
Authorized Signatures:
Sarah Ellefson, Altius Physical Therapy & Wellness LLC
I duly represent that I am authorized to represent Altius Physical Therapy & Wellness LLC in reviewing, agreeing and signing
this Agreement. My signature to this Agreement constitutes acceptance of the terms of this Agreement, special conditions for
use of the funds awarded, if any, and Altius Physical Therapy & Wellness LLC's responsibilities as stated above.
SIGNATURE: _
PRINTED NA E: Sarah Fllafcnn
TITLE: Owner
DATE: 12/16/20
Town of Avon
SIGNATURE:
PRINTED NAME: �
TITLE: C�26 llzl��,i COV +
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