HomeMy WebLinkAboutAdden 3 CAG-14-068, Adden #3-16
'��` Washing#on Sta#e
� Department of Transportation
Supplemental Agreement Organization andAddress
Number 3 CivilTech Engineering, Inc.
400—112 Ave NE,Suite 120
Original Agreement Number Bellevue,WA 98004
CAG-14-068 Phone: (425)453-6488
Project Number Execution Date Completion Date
Project Number 05/05/2014 12/31/2017
Project Title New Maximum Amount Payable
NE 315t St Culvert Repair Project, $ 34,999.30
Replacement Alternative - Bridge
Description of Work
Perform Engineering Support Services for construction including completion of record drawings.
The Local Agency of City Of R�11tOt1
Desires to supplement the agreement entered in to with ._ CiviiTech En�ineerin�, Inc.
and executed on 05,(05�2014 and identified as Agreement No. CAG-14-068
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:
t
The SCOPE OF WORK described in Section II of the Agreement is amended as follows:
This Supplemental Agreement does not change the Scope of Work.
I I
The COMPLETION DATE referenced in Section IV of the agreement is amended asfollows:
Extend the completion date from June 30, 2016 to December 31, 2017.
III
The PAYMENT PROVISIONS in Section V of the Agreement are amended as follows:
The original maximum amount payable listed in the original contract was$34,998.50. However, Exhibit E-1 in the
origina)agreement totaled$34,999.30.This Supplemental Agreement corrects the maximum amount payable to
$34,999.30.The maximum amount payable is detailed within the attached and incorporated Exhibit A.
as set forth in the attached Exhibit(s), 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.
By: CivilTech Enqineering, Inc. By: Greaa Zimmerman. P�ablic Works Administrator
Consultant Signature Appr ng uth ri y ignature
��
Date
DOT Form 140-063
Revised 09/2045
Exhibit "A"
Summary of Payments
Basic Supplements # 1,2,3 Total
Agreement
Direct Salary Cost $ 3,228.50 $ 0 $ 3,228.50
Overhead $ 17,550.25 $ 0 $ 17,550.25
(Including Payroll Additives)
Direct Non-Salary Costs $ 252.00 $ 0 $ 252.00
Fixed Fee $ 3,968.55 $ 0 $ 3,968.55
Total $ 34,999.30 $ 0 $ 34,999.30
DOT Form 140-063
Revised 09/2005