Modification Order #2 - Copeland Utilities
CONrRACTJWORK ORDERIIIODlFICATION
CHECKLIST FORM
PROJECT NAME: ~d uuntIM PROJECT #: DR 05-03 PROJECT MANAGER: U~ Ole"
SlDlRFP II: NJA MOD If: ......L...PO#: 4500018319 WORK ORDER It. NlA
DEPARTMENT: H9-1na .. Hunan s.mc:e. CONTRACTORIFI.. NAME: Houeina DeY. Coru. of SW. Fl. Inc.
OrIginal Contract Amount
$ 5123.823
(Starting Point)
Current Contract Amount
$tL.e~~:: Arnount~ by thlIBCC)
$ 5123.923
(lndudlng A. C~POor T() This M<lCftCaffon)
: ::: I~,~ tJ23
(Including This cr;8nge Order)
Cun'8nt acc Approved Amount:
Change Amount:
RevlMd ContradIWotk Order Amount:
Cumula"'" Dollar Value of Chlngee to
this Contrac:tJWork Order: $ SOQ.OO
D8te of Last BeC Approval 512312007
Agenda 1tem # 16036
P4ItC8ntage of the change overlunder current connel amount
Formula: (ReYlsed Amount I Last acc approved amot.l1t)-1
A '/
CURRENT COMPLETION DATE (S): 0RIG1NAL:~. 2009
Describe the change(s): Chanae aalH"",N to direct DaY
o "AI
5~rz
CURRENT:.Pm . Jr2009
Specify the reasons for the change(s} 1. X Planned or Elective r 2. Unfonsseen Conditions ('" 3. Quantity
Adjustments r 4. CofTect.IOn of enors (Plana, Specifications or Scope of Work) r 5. Value Added
(":. 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project If thle change orderwete not proceaed: Prolect DeIlY..
.
n Using Department r: COES
This change was requested by: r1ContractDrlCoMuliant
c.o..lgn ProfeMIonal r1RegWdDly Agency (Specify) ,
~r-'l -~
x Yes ~o
DR: cfJir;:;.
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS:
~~
::::~ .~~ ~~
Project Manager
A~O~ BY:
REVlEWEDBY: {~A\" n 1 1-4 )Im!
~81ist
Dete:
Date; 5/:2;//09
EXHIBIT A-I Contract Amendment.fur Subrecipient Agreement
Florida Administrative Code 9BER06-1 CFDA# 14.228
"Housing Development Corptmuion of South west Florida IDe,"
f.k.a. Collier County Housing DeveJopsnent Corporation
This amendment, dated . 2009 to the referenced agreement shall be
by and between the parties to th riginal Agreement, Housing Development Corporation of Southwest
Florida Inc (to be referred to as ubrecipient) and Collier County, a political subdivision of the state of
Florida, (to be referred to as "County").
Statement of Uadmltll.dhlll
RE: Contract Florida Administrative Code 9BER06 #14.228 "Housing Development Corporation of
Southwest Florida Ine".
In order to continue the services provided for in the origiual Agreement document referenced above. the
Sub-Recipient agrees to amend the above referenced AgNOmenl as follows:
Note: Words st:rne'. mffll:lgR have been deleted. Words undcrlinedhave been added.
nt. TIME OF PERFORMANCE: On page 2 o{23 amend as follows
The effective date of this Agreement and all rights and dutIcs designated hereunder are contingent upon the
timely release of funds for this project by DCA under Agreement No. 07DB-3V-09-21-01-Z 01. +he
..tivlt dBle &h$lbe 1lw I.... dldv &f-ft~_ef .hi$ ...gse~INRt, aFlll the Services of the
SUB RECIPIENT shall be undertaken and completed in light of the purposes of this Agreement. In any
event, all services required hereunder shall be completed by the SUB RECIPIENT prior to :\Jlril 30, 2009
September 18. 2009. Any funds not obligated by the expinUiOQ date of this Agreement shall automatically
revert to the COUNTY, as set forth in Part VIII F (e), and Part VlII H below.
G. Work Schedule: On page 18 of23 amend as follows
~U.
Work completion
3~~'
.. ,ApriJ,.2Q09 September 18, 2009
Pld/l.f~ Iftl,/J l/tGt !I~fwMJ .dIi'/HiN' _t1fHNi,lte tim~'1JIS hy IW6 lfl'HfIIW III M'i8lW It'th' 6t<wedWe m~
he 31o/hmitterJ J6 HHS.
N~r:: Wodt ~edulcsare in effe~ for pro~ mOflilorlne ~\.I~menIS only and us ~ch.m ~ed tl)'
BO jmG AND HUMAN SERVICES 0& pnCrm tarpt JO~ .cr than strict performance reqllirement~.
-",..~.-------"-,"^~"-.~._......_,.,-<>_..._.._~----,-,~-,,,~,".""_'"..,~,....".".
EXHIBIT A-I Contract Amendment for Subrecipient Agreement
"Housing Development Corporation of Southwest fllorida Inc."
Florida Administrative Code 9BER06-1 CFDA# 14.228
Page 2 of2
IN WITNESS WHEREOF, the Su'crRccipient and the Owner have each, respectively, by an authorized
person or agent, hereunder set their hands and seals on the date( s) indicated below.
All other terms and conditions of the agreement shall t\IlmIIin in force.
^~~2m
Subrecipient:
Housing Development Corporation
of Southwest Florida Inc
Owner:
BY:~;&f.~
K thy Pa !Son
f1.J1:ecutlve DiNl:'Wf
BOARD OF COUNTY COMMISSIONERS
COLUmt COUNTY, FLORIDA
"Yifness
I) ~
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Print Name IIlld Title'
PROJECT <;QOkDn'4A'fOR
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DEPARTMENTDfRECT
By:
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