HomeMy WebLinkAboutAdden 11DOT 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*$1'&203/(7,21LVDPHQGHGWRFKDQJHWKHQXPEHURIFDOHQGDUGD\V
for completion of the work to read:
III
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DVVHWIRUWKLQWKHDWWDFKHG([KLELW$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
KPG Psomas Inc.
10/24/2017 CAG-17-149
See attached Exhibit A, Scope of Work
No Change
Original Contract through Supplement 11 = $1,620,326.18 + $33,779.00 (Exhibit D) = $1,654,105.18
11
CAG-17-149
KPG Psomas Inc.
3131 Elliott Ave Suite 400
Seattle, WA 98121
253-627-0720
10/24/2017 12/31/2024
Williams Ave S and Wells Ave S (Conversion) $1,654,105.18
Provide survey, civil, water, and structural design services for the Williams Ave S/Wells Ave S Project.
KPG Psomas Inc.
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