HomeMy WebLinkAboutAdden 3Washington State Deparlme,rf of CONTRACT AMENDMENT Health
l.NAME OF CONTRACTOR
City of Renton -Farmers Market
dba Renton Farmers Market
la. ADDRESS OF CONTRACTOR (STREET)
1055 South Grady Way, 6th Floor,
lb. CITY,STATE,ZIPCODE
Renton, WA 98057
3.[81 THIS ITEM APPLIES ONLY TO BILATERAL AMENDMENTS.
2.CONTRACT NUMBER
CBO24912
2a. AMENDMENT NUMBER 3 The Contract identified herein, including any previous amendments thereto, is hereby amended as set forth in Item 5
below by mutual consent of all parties hereto.
4.0 THIS ITEM APPLIES ONLY TO UNILATERAL AMENDMENTS.
The Contract identified herein, including any previous amendments thereto, is hereby unilaterally amended as set forth
in Item 5 below pursuant to that changes and modifications clause as contained therein.
5.DESCRJPTIO OF AMENDMENT: The purpose of this amendment is to add $27,500 federal funds, extend
period of performance and update the Stateme nt of Work.
5.a Statement of Work: Exhibit A-3: Scope of Work 4. and Payment are revised as follows:
Scope of Work:
4.Farmers markets must notify DOH when 75% of annual budget for SNAP Market Match incentives has been
redeemed based on the 2022 budget. This notification will allow DOH and the market time to amend this agreement as
necessary.
Payment: •Federal funding must be used by December 31, 2022 and allowable rein1bursements are for incentives and
administrative costs ( calculated at 10% of incentives).•The contractor will invoice monthly on A-19 invoice form provided by DOH, and send the invoice to a DOH
designated email for timely proces sing and reim bursement.•Payment will only be dispersed if Deliverable #1 and #2 is up-to-date for the respective month.
Sb. Consideration: This amendment increases the Contract Consideration by $27,500.00; therefore, the revised
maximum consideration of this contract and all amendments sh all not exceed $62,000.00.
Source or Funds for this Amendment: (FED) $27,500; (ST) $-0-; (Other) $-0-; Total $27.500
Contractor agrees to comply with applicable rules and regulations associated with these funds.
5c. Period of Performance: is extended through December 31, 2022.
5d. The Effective Date of this Amendment: is January 1, 2022.
DOH Amendment CB024912-Revision 04/2020
Page I of2
CAG-20-079, Adden #3-22
6. 7.
8.
9.
All other terms and conditions of the original contract and any subsequent amendments thereto remain in full force and
effect.
OThis is a unilateral amendment. Signature of contractor is not required below.
C8:J Contractor hereby acknowledges and accepts the terms and conditions of this amendment. Signature is required below.
CONTRACTOR SIGNATURE (also, please print/type your name)DATE
!!&.&Uh(#�-i.10221&.ll,sT) Feb 17, 2022
DOH CONTRACTING OFFICER SIGNATURE DATE
�;t_u�Feb 23, 2022
This document has been approved as to form only by the Assistant Attorney General.
DOH Amendment CB024912-
Revision 04/2020
Page 2 of2