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HomeMy WebLinkAboutAddendum - 1Docusign Envelope ID: 13A840CA-8DAB-4F36-A1A8-1652FB8B226F
Washington State Department of Transportation
Supplemental Agreement Organization and Address
Number 1 Universal Field Services
111 Min Street, Suite 105 Original Agreement Number Edmonds, WA 98020
CAG-24-314 Phone:
Project Number Execution Date Completion Date
12/10/2024 6/30/2030
Project Title New Maximum Amount Payable
Oaksdale Avenue SW Pavement Preservation Project $22,222.00 + $14,200.00 = 36,422.00
Description of Work
Right of Way Acquisition Services to acquire up to 5 parc es l fo r the Oaksdale Avenue SW Pavement
Preservation Project
The Local Agency of �C-i,_.,,ty,_.....of=R=en=t=o=n�--------------------------
desires to supplement the agreement entered in to with --'U==n....,iv...,.e""'rs=a=l ""'F-"ie=l=d"'"'S...,e=rv..,_..,ic=e=s __________ _
and executed on 12/10/2024 and identified as Agreement No. �C=A=G=--_,,,2'-'4�-3"--'l....,4 ________ _
All provisions in the basic agreement remain in effect except as expressly modified by this supplement.
The changes to the agreement are described as follows:
I
Section 1, SCOPE OF WORK, is hereby changed to read:
Previous scope was for completing seven (7) appraisal waivers and one appraisla insp ection to comleting 4
apprasials ( 5 parcels but one parcel will be combined as paii of a large r parcel and 4 appraisal reviews.
II
Section IV, TIME FOR BEGINNING AND COMPLETION, is amended to change the number of calendar days
for completion of the work to read: _.N'"""/'--"-A-"-----------------------------
111
Section V, PAYMENT, shall be amended as follows:
New apprai sal fee will be $14,000 for appraisals and $7,200 for appraisal reviews, 4 each -total fee =
$21,200. Previous valuati on fee was $7,000. This is an increas e of $14,200 to the original budget of$22,222
as set forth in the attached Exhibit A, and by this reference made a part of this supplement.
If you concur with this supplement and agree to the changes as stated above, please sign in the Appropriate
spaces below and return to this office for final action.
DOT Form 140-063
Revised 09/2005
nsuitantsi�ture
Martin Pastucha By: ______________ _
G�"���d ;astucha
888131rn9884490Approving Authority Signature
4/18/2025 I 11:02 AM PDT
Date
CAG-24-314 , Adden #1-25
Docusign Envelope ID: 13A840CA-8DAB-4F36-A1A8-1652FB8B226F
Direct Salary Cost
Overhead
(Including Payroll Additives)
Direct Non-Salary Costs
Fixed Fee
Total
DOT Form 140-063
Revised 09/2005
Basic
Agreement
$7,928
$4,590
$7,326
$2,378
$22,222
Exhibit "A"
Summary of Payments
Supplement #1
No Change
No Change
$14,200
No Change
$14,200
Total
$7,928.00
$4,590.00
21,526.00
$2,378.00
$36,422.00