HomeMy WebLinkAboutAddendum - 12DOT Form 140-063
Revised 09/2005
Supplemental Agreement
Number
Organization and Address
Phone:
Original Agreement Number
Project Number Execution Date Completion Date
Project Title New Maximum Amount Payable
Description of Work
The Local Agency of
desires to supplement the agreement entered in to with
and executed on DQGLGHQWL¿HGDV$JUHHPHQW1R
$OOSURYLVLRQVLQWKHEDVLFDJUHHPHQWUHPDLQLQHႇHFWH[FHSWDVH[SUHVVO\PRGL¿HGE\WKLVVXSSOHPHQW
The changes to the agreement are described as follows:
I
Section 1, SCOPE OF WORK, is hereby changed to read:
II
6HFWLRQ,97,0()25%(*,11,1*$1'&203/(7,21LVDPHQGHGWRFKDQJHWKHQXPEHURIFDOHQGDUGD\V
for completion of the work to read:
III
6HFWLRQ93$<0(17VKDOOEHDPHQGHGDVIROORZV
DVVHWIRUWKLQWKHDWWDFKHG([KLELW$DQGE\WKLVUHIHUHQFHPDGHDSDUWRIWKLVVXSSOHPHQW
If you concur with this supplement and agree to the changes as stated above, please sign in the Appropriate
VSDFHVEHORZDQGUHWXUQWRWKLVRႈFHIRU¿QDODFWLRQ
By: By:
Consultant Signature Approving Authority Signature
Date
City of Renton
Perteet, Inc.
June 30, 2020 HIPUL-STP 9917 (034)
No Change
No Change
No Change
12
Federal Aid No. HIPUL-STP 9917 (034)
Perteet, Inc.
2707 Colby Ave., Suite 900
Everett, WA 98201
(425) 252-7700
CAG-20-127 June 30, 2020 December 31, 2028
Williams Ave. W. & Wells Ave. S. Conversion Project $2,022,859.76 - No Change
This Supplemental Agreement No. 12 updates the WSDOT Accepted ICR FYE 2024 per contract terms noted in Section "V.
Payment Provisions" of the original agreement dated June 30, 2020.
Perteet, Inc. City of Renton
! "
#
CCZ CAG-20-127, Adden #12-25C
%DVLF$JUHHPHQW 6XSS 6XSS^ƵƉƉ͘ηϯ ^ƵƉƉ͘ηϰ ^ƵƉƉ͘ηϱ ^ƵƉƉ͘ηϲ ^ƵƉƉ͘ηϳ ^ƵƉƉ͘ηϴ ^ƵƉƉ͘ηϵ ^ƵƉƉ͘ηϭϬ ^ƵƉƉ͘ηϭϭ ^ƵƉƉ͘ηϭϮ 7RWDO
'LUHFW6DODU\&RVW Ψϯϵϭ͕ϴϱϲ͘ϲϭΨ;ϭϯ͕ϴϴϱ͘ϭϵͿ Ψϴ͕ϲϭϳ͘ϵϴ ΨͲ ΨϯϬ͕ϲϮϵ͘ϳϱ ΨϮϲ͕Ϯϭϭ͘ϵϵ Ψϯϭ͕ϲϲϰ͘ϭϰ Ψϭϲ͕ϯϲϲ͘ϰϳ ΨͲ ΨϯϬ͕ϴϴϯ͘ϱϰ ΨͲ ΨϯϬ͕ϳϬϰ͘ϰϴ ͲΨϱϱϯ͕Ϭϰϵ͘ϳϳ
,&5,&5
,&5,&5
ΨϳϮϱ͕ϰϬϰ͘ϵϲ Ψ;Ϯϱ͕ϳϬϰ͘ϮϲͿ Ψϭϱ͕ϵϱϯ͘ϲϬ ΨͲ ΨϲϬ͕ϭϴϭ͘ϯϯ Ψϱϭ͕ϱϬϭ͘ϯϮ Ψϱϳ͕ϳϵϯ͘ϰϬ ΨϮϵ͕ϴϳϮ͘Ϭϳ ΨͲ Ψϱϴ͕ϭϵϯ͘ϴϱ ΨͲ Ψϱϵ͕Ϭϰϰ͘ϳϮ ͲΨϭ͕ϬϯϮ͕ϮϰϬ͘ϵϵ
3URILW Ψϭϭϳ͕ϱϱϲ͘ϵϴ Ψ;ϰ͕ϭϲϱ͘ϱϲͿ ΨϮ͕ϱϴϱ͘ϯϵ ΨͲ Ψϵ͕ϭϴϴ͘ϵϮ Ψϳ͕ϴϲϯ͘ϱϵ Ψϵ͕ϰϵϵ͘Ϯϰ Ψϰ͕ϵϬϵ͘ϵϰ ΨͲ Ψϵ͕Ϯϲϱ͘Ϭϲ ΨͲ Ψϵ͕Ϯϭϭ͘ϯϰ ͲΨϭϲϱ͕ϵϭϰ͘ϵϭ
'LUHFW&RVWV Ψϭ͕Ϯϯϰ͕ϴϭϴ͘ϱϲΨ;ϰϯ͕ϳϱϱ͘ϬϬͿ ΨϮϳ͕ϭϱϲ͘ϵϳ ΨͲ ΨϭϬϬ͕ϬϬϬ͘ϬϬ Ψϴϱ͕ϱϳϲ͘ϵϬ Ψϵϴ͕ϵϱϲ͘ϳϴ Ψϱϭ͕ϭϰϴ͘ϰϴΨͲ Ψϵϴ͕ϯϰϮ͘ϰϱ ΨͲ Ψϵϴ͕ϵϲϬ͘ϱϰ Ͳ Ψϭ͕ϳϱϭ͕ϮϬϱ͘ϲϴ
([SHQVHV ΨϮϬ͕ϯϱϮ͘ϴϬ ΨͲ Ψϭϰϳ͘ϮϬΨͲ ΨͲ ΨϮϵϵ͘ϱϮ Ψϰϰϵ͘Ϯϴ Ψϭϲϳ͘ϲϴ ΨͲ Ψϲϴϲ͘Ϭϴ ΨͲ Ψϳϭϲ͘ϴϬ ͲΨϮϮ͕ϴϭϵ͘ϯϲ
3RWHQWLDO6DODU\(VFDODWLRQ Ψϭϱ͕ϰϳϮ͘ϰϴ ΨͲ ΨͲ ΨͲ ΨͲ ΨͲ ΨͲ ΨͲ ΨͲ ΨͲ ΨͲ Ͳ ͲΨϭϱ͕ϰϳϮ͘ϰϴ
6XEFRQVXOWDQWV Ψϭϲϵ͕Ϯϭϰ͘ϬϬ Ψϰϯ͕ϳϱϱ͘ϬϬ Ψϭϭ͕ϴϴϴ͘ϬϬ ΨͲ ΨͲ Ψϴ͕ϱϬϱ͘Ϯϰ ΨͲ ΨͲ ΨͲ ΨͲ ΨͲ Ͳ ͲΨϮϯϯ͕ϯϲϮ͘Ϯϰ
0DQDJHPHQW5HVHUYH ΨϭϬϬ͕ϬϬϬ͘ϬϬ ΨͲ ΨͲ ΨͲ Ψ;ϭϬϬ͕ϬϬϬ͘ϬϬͿ ΨͲ ΨͲ ΨͲ ΨͲ ΨͲ ΨͲ Ͳ ͲΨͲ
7RWDO Ψϭ͕ϱϯϵ͕ϴϱϳ͘ϴϰ Ψ;Ϭ͘ϬϬͿ Ψϯϵ͕ϭϵϮ͘ϭϳ ΨͲ ΨͲ Ψϵϰ͕ϯϴϭ͘ϲϲ Ψϵϵ͕ϰϬϲ͘Ϭϲ Ψϱϭ͕ϯϭϲ͘ϭϲ ΨͲ Ψϵϵ͕ϬϮϴ͘ϱϯ ΨͲ Ψϵϵ͕ϲϳϳ͘ϯϰ Ͳ ΨϮ͕ϬϮϮ͕ϴϱϵ͘ϳϲ
ŝƚLJŽĨZĞŶƚŽŶtŝůůŝĂŵƐǀĞ͘^͘ΘtĞůůƐǀĞ͘^͘ŽŶǀĞƌƐŝŽŶWƌŽũĞĐƚ
ŽŶƐƚƌƵĐƚŝŽŶDĂŶĂŐĞŵĞŶƚ^ĞƌǀŝĐĞƐ
^ƵƉƉůĞŵĞŶƚEŽ͘ϭϮ
džŚŝďŝƚΗΗ
^ƵŵŵĂƌLJŽĨWĂLJŵĞŶƚƐ
! "
June 18, 2025
Perteet, Inc
2707 Colby Avenue, Suite 900
Everett, WA 98201
Subject: Acceptance FYE 2024 ICR – CPA Report
Dear Denice M. Moan:
We have accepted your firm’s FYE 2024 Indirect Cost Rate (ICR) of 185.52% of direct labor (rate
includes 0.38% Facilities Capital Cost of Money) based on the “Independent CPA Report”
prepared by Stambaugh Ness, Inc. This rate will be applicable for WSDOT Agreements and Local
Agency Contracts in Washington only. This rate may be subject to additional review if considered
necessary by WSDOT. Your ICR must be updated on an annual basis.
Costs billed to agreements/contracts will still be subject to audit of actual costs, based on the terms
and conditions of the respective agreement/contract.
This was not a cognizant review. Any other entity contracting with the firm is responsible for
determining the acceptability of the ICR.
If you have any questions, feel free to contact our office at (360) 704-6397 or via email
consultantrates@wsdot.wa.gov.
Regards,
SCHATZIE HARVEY, CPA
Contract Services Manager
SH: kb
! "