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OFFICIAL COLORADO STATE DOCUMENT <br />DO NOT ALTER THIS FORM <br />CERTIFICATION FOR PERSONAL SERVICES AGREEMENTS <br />Additional supporting documentation may need to be provided in addition to the completion of <br />this form in its entirety. Contact your department’s human resource office for assistance. <br /> <br /> <br />Department/Institution Name: <br />DNR, OICN <br /> <br />Contract Routing/PO Number: Modification #: <br /> <br /> <br />Original Total $ Amount: New Total $ Amount: <br />$630,000.00 <br /> <br />Contracting Company: Assigned Individual Contractor/Leased <br /> <br />Worker(s): <br /> <br /> <br />T ERM OF AGREEMENT From: To: <br /> <br />7/1/2006 6/30/2007 <br />1. If this is a modification, please explain the reason for the modification including any <br /> <br />difference in scope from the original contract. (Extensions, renewals, or decrease in <br />serv ices or funding do not require personal services review). <br /> <br />N/A <br /> <br />2. Please provide an explanation of the services being outsourced, including the type of <br /> <br />services, skills and expertise to be purchased, how and why it is a specialized skill, and <br />i dentify the direct beneficiary of the services. <br /> <br />This contract seeks technical assistance for the nine basin roundtables established by the HB1177 Interbasin <br />Compact Committee. Contractor will assist the basin roundtables in the completion of their individual water <br />needs assesment. <br /> <br />3. Post April 7, 1993, are there specific statutory citations (not footnotes to the Long Bill) <br /> <br />that require an outside contractor to provide this service? <br /> <br />No Yes If yes , cite statute. C.R.S. <br />X <br /> <br />4. Have the services proposed for outsourcing been performed by state personnel system <br /> <br />staff? No Yes <br />X <br /> <br />If yes , provide t he following: <br />A. When? <br /> <br /> <br />B. What job class was utilized? <br /> <br /> <br />C. Why did the department decide to contract out these services? <br /> <br /> <br /> <br /> <br />Are these services ongoing for an indefinite period of time? No Y es <br />X <br /> <br /> <br /> <br />If appropriate, has permission been obtained to contract out these services (see Prior <br />Approval Check List )? If yes , please attach the written approval. <br /> <br /> <br />5. Will the proposed contract directly impa ct any current state personnel system staff? <br /> <br /> <br />No Yes <br />X <br /> <br />If yes , provide the following (attach all supporting documentation). <br />A. List each employee impacted, the job class, position number, and c urrent salary. <br /> <br /> <br /> 1 <br />