Modification Order #2 - One by One Infill
CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: One bv One IntllI
PROJeCT #:
DR 01-01 PROJECT MANAGER: UN OIen
BID/RFP #~MOD': LPOI 4&0001932.6
DEPARTMENT: HnI.lna and Human ~~
WORK OROER': NIA
CONTRACTORIFIRM HAIlE: One bv One
Original ContnlctAmount:
$ 415.000
(Starting Point)
$ 415.000
(Last Total Amount Approved by the BCC)
$ <415,0Qq
(l.nducIng All C~ Prior T~ Thia ModFftcal,fon)
$ 00.00
$" '*'.5; 000
(Including This Change Order)
CUlT8nt Bee Approved Amount:
Current Contract Amount
Change Amount:
RevlMd ContnlctlWork Order Amount:
CwnUlatiV8 Dollar Value of Change. to
ttll. ContnlctlWortc: Order:
s ".00
Date of Last SCC Approvllt 5123f2001
Agenda IbIm 1# 16025
Percentage of the change overlunder current contract amount
Formula: (Revised Amount Il..ut Bce approved amount)-1
CURRENT COMPLETION DATE (8): ORIGINAL: ADrtI ~ 2009
o ~o
CURRENT: Seotember 18.2009
This change order will: 0 Add. new Task for $
o Increue Task Number
by$
other
DeKrlbe the change(s): Clarify ~nct execu1ion date and amend work 8chedu""
Specify the rea.OM for the change(s) r. 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plana, Speclficatlone or Scope of Work) r 5. Value Added
r 8. 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 this change order were not pl'OC8H8d: LjJ
This clwlge was requested by: nContractorJco....uttantX Owner n UsIng Department r CDES
L.Deslgn Pro....,onal rlRegulatory Agency (Specify) r Other (Specify) Mutual
CONTRACT SPECIALIST PARTICIPATION IN NEGOTrATlONS: r Yes XNO
APPROVED BY: ..r ,,:1c'~
D..L..~ av P!'qect Man
A(Y,",",,, I:
REVIEWED BY ~. ~. ~/1 Yi) t~
Co Ja 1St
,~/ /
Date: J?':t:.->t;/0s:
Date:
Date: 'I/:J % 9
EXHIBIT A-I Contract AmC8dmonl for Subrecipient Agreement
Florida Administrative Code 988-'1 CFDA# 14.228
"One by One LtlldenhipFoundatiOll Inc."
This amendment, dated
by and between the parties to
referred to as Subrecipient) an
referred to as "County").
2009 to the referenced agreement shall be
original Agreement, One by One Leadership Foundation Inc. (to be
Collier County, a political subdivision of the state of Florida, (to be
Statement of V.........I
RE: Contract Florida Administrative Code 9BER06 #14.128 "01le by One Leadership Foundation Inc.".
In order to continue the services provided for in the ociain41 Agreement document referenced above, the
Sub-Recipient agrees to amCl'ld the above referenced AJ1"IlIllIMIJt as follows:
Note: Words stN. 1hfeHgh have beeu deleted. Words underlmed have been added.
IlL TIME OF PERFORMANCE: On page 2 bf23 amend as follows
The effective date of this Agreement and all rights and duties designated hereunder arc contingent upon the
timely release of funds fat this projoct by DCA under AgrcemCllt No. 07DB-3V-09-2J-oI-Z 01. l1M
lIWeslive .. ..,. .,. the IlIteR .. 01 ...... ~ tit .this .,..........t. ... .. Services of the
SUBRECIPIENT 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 SUBRECIPIENT prior to l'.Jlfil 39, 2009
September 18.2009. Any funds not obligated by tbe expil'ltion date of this Agreement sball automatically
revert to the COUNTY, as set forth in Part VIII F (e), and Part VIII H below.
I ::;, se_w" 8, ZOO9
Please note thai if any of these activities exceed the tl,,",lines by two months a revised work schedule must
be submitted IQ HHS.
NQn;; !'... ..scbedalca n m dct. for IJnltDIn moniWriAg rca~-:thr: ::';..:~= =~
HOUSING AND HtlMAN SERVICES lIS .crunl tncC "*' .. . . .' Is.
EXHIBIT A-I Contract Amendment tbr Subrec.ipicn Agreement
fo'lorida Adminimat.ivc Code 98E1lC)6.1 CFDAII14.221
"One by One I....oadcrship Foundation toe."
~e2of2
IN WITNESS WHEREOF, the Sub-Recipient and the ()wner have eacl1, respectively, by an authorized
peniOn or agent, hereunder set their hands and seals on thcj date(s) indicated below.
All other terms and conditions of the agreement shall rem,in in force.
Accepted: ~ 2009
. p POUDdlI&ion Inc
Owner:
BO~ OF COUNTY COMMISSIONERS
COI.j.LIER COUNTY, FLORIDA
Witness
~~
-ztf~ I/Awvne~
Print Name and Title
PRdJECT 9>PRDIN~.J'OR
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B..,. '.". >' ...",-,.(, \.
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DEPAiT DIRE
By:.
:... Marcy
R
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