Contract Request Template (Contracts; IGAs; Leases)
Date Submitted: 3-11-2024
Requesting Agency: DOF
Division:
Subject Matter Expert Name: Devron McMillin
Email Address: devron.mcmillin@denvergov.org
Phone Number:
Item Title & Description:
(Do not delete the following instructions)
These appear on the Council meeting agenda. Initially, the requesting agency will enter a 2-3 sentence description. Upon bill filling, the City Attorney’s Office should enter the title above the description (the title should be in bold font).
Both the title and description must be entered between the red “title” and “body” below. Do not at any time delete the red “title” or “body” markers from this template.
title
A resolution approving an Agreement with Peak Form LLC between the City and County of Denver and Peak Form LLC, to add funds and to provide medical treatment for City employees injured on the job, citywide.
Approves a contract with Peak Form LLC for $3,000,000 and an end date of 12-31-2026 to provide medical treatment for City employees injured on the job, citywide (FINAN-202371601). The last regularly scheduled Council meeting within the 30-day review period is on 4-15-2024. The Committee approved filing this item at its meeting on 3-12-2024.
body
Affected Council District(s) or citywide?
citywide
Contract Control Number:
FINAN-202371601
Vendor/Contractor Name (including any “DBA”):
Peak Form, LLC
Type and Scope of services to be performed:
Location (if applicable):
WBE/MBE/DBE goals that were applied, if applicable (construction, design, Airport concession contracts):
N/A
Are WBE/MBE/DBE goals met (if applicable)?
Is the contract new/a renewal/extension or amendment?
new
Was this contractor selected by competitive process or sole source?
Competitive process
For New contracts
|
Current Contract Amount (A) |
|
$3,000,000 |
|
Current Contract Term |
|
1/1/2024 - 12/31/2026 |