Modification Order #2 - Hatcher's Preserve
CONTRACTIWORK ORDER MODFICATION
CHECKLIST FORM
PROJECT NAME: H*he!". Preeerve PROJECT #I DR 05.02 PROJECT MANAGER: ~.. Ole"
BlD/RFP" N1A MOD #: LPO# 4500099317 WORK ORDER #: N1A
DEPARTMENT: Houslna and tunan s.n;:-
CONTRACTORIRRM NAME: Em.A>...lilo'-.m Alliance of SWFL
Current ace Approved Amount:
$ 374.545
(Starting Point)
* '74.141
(Last Total Amount Approved by the BeC)
$ 374.545
(Induding All Changes Prior To This Modification)
Original Contract Amount:
Current Contract Amount:
Change Amount
Revlaed ContractlWork Order Amount:
s 0LD8
$-ee:oo- ...3 J~. .5 f $'
(Including This Chan e Order)
C.....ulatlve Dollar Value of Changee to
this ContractlWorit Order:
$ 00.00
Date of Last Bee Approval 5/2312007
Agenda Item # 16033
Percentage of the change over/under current contract amount
Formula: (Revised Amount IlHt BCC approved amol.l1t)-1
CURRENT COMPLETION DATE (8): ORIGINAL: ADria 30. zoot
o %
CURRENT: Seotember 18. 2009
Th18 change order will: 0 Add a new TIel( for $
Other
o Increa.. Tak Number
by$
DtMlcrlbe the c:hange(.): ca.trv ~....... ....... ........ .,tt ..........
Specify the reasons for the change(8) r. 1. Planned or Elective r 2. Unfo'....n Conditions r 3. Quantity
Adjustments r 4. Correction of Envl'8 (Plans, Speclftcatlona or Scope of Work) r: 5. Value Added
r 6. Schedule Adjustments Note: One or more may be Checked; depending on the natu~ of the change(s).
Identify all negllUve Impacts to the project If thl. change order were not proceeaed: ~ d'd
t<.~A 11./Jr/ 1ft I'~jp*(i ,
This chlU1g8 was ntqU8St8d by: r1ContrKtDrtCofuwttant n Owner n lI8lng Department r CDES
Coeslgn Professional rlRegul.tory Agency (Specify)
r Other (Specify) Mutqal
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes r No
ThJa 10"" .. to be ~n~ ",..~
APPROVED BY: ~~.;:f [..;~~L'
AP~.~Maneger
REVIEWED BY: ~:J )] I !2 )/1--,,-,1
Coo r ~ peclallst
Date:
Date:
~,f;(;;,~
. /
f/0l7/t'V
Date:
EXHIBIT A-I Contract Am\.'lndment for Subrecipient Agreement
Florida Administrative Code 9BER06-1 CFDA# ]4.228
"Empowerment Alliance ofSoutbwest Florida"
This amendment, dated ~ -< ( <) -I ;:; t, . 2009 to the referenced agreement shalJ be
by and between the parties to the 0 gina) Agreemertt, Empowel11lent Alliance of Southwest Florida (to be
referred to as Subrecipient) and Collier County, a political subdivision of the state of Florida, (to be
referred to as "County").
Statement of Undfl'lllanding
RE: Contract Florida Administrative Code 9BER06 1f14.228 "Empowerment Alliance of Southwest
Florida" .
In order to continue the services provided for in the origina.l Agreement docwnent referenced above, the
Sub-Recipient agrees to amend the above referenced Agreement as follows:
Note: Words 8WeIt~ have been deleted. Words underlined have been added.
UI. TIME OF PERFORMANCE: On page 2 of 23 amend as foHows
The effective date of this Agreement and all rights and duties 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. The
~Ye 8ftt" shell IN 1M lakml .". of IBUMlltal;l1l ofmifi .A.~.Rt.,aAd the Services of the
SUBRECIPIENT shall be undertaken and completed in light of the purposes of this Agreement. In any
event, all services required hereul1der shall be completed by the SUBRECIPIENT prior to :'.flril 39, 2009
September 18. 2009. Any funds not obligated by the expirarlon date of this Agreement shall automatically
revert to the COUNTY, as set forth in Part VlII F (e), llnd I>art VlIl H below.
G. Work SChedule: On page 18 of23 amend as follows
Tatk
Work completIon
lad Date
~2GG9 September 18,2009
llHHMe NtNe 111'*&" atl')'/fffflUtJ IldMIit"ar:~tNJ Vf<!! tl",fJ.(tltf}a "> tll6 /1ftH'fJM if f'II\'wtl lI'l"H'.t ~',>hcJtllir Jf.WI
Be submiUed 18 HHS.
NOTE: Work sthldllles Ute ilJ cff~ct fer prplP'OIIn m~mjloring r~uInQ)tmts onlY. and as such are used ~~
HOUSINO AND HUMAN ~~RYICE!S" ieneral ~ 80Ids rather than strict ~rformance requirel1)~~
EXHIBIT A-I Contract Amendment fOT Subrecipient Agreement
Florida Administrative Code 9BER06-1 CFDA# 14.228
"Empowennent Alliance of Southwest Florida"
Page 2 of2
IN WITNESS WHEREOF, the Sub-Recipient and the Owner have each. respectively, by an authorized
person or agent, hereunder set their hands and seals on thedatc(s) indicated below.
All other terms and conditions of the agreement shall remain in force.
Ae<:epued:
.2009
O\\'nCl':
d
Chainnan
BOARD OF COUNTY COMMISSIONERS
COLLIER. COUNTY, FLORIDA
PROJECT COORDfNA.:rOR
1...- / t~'.,
../.. ,.
By: ,., /r{./c;-"",".I!t L
I.... Usa aiell
-z~h'An1~
Print Name and Tit1~
DE. :~?~wrDJ~REC R ,
By; .' ...~~ -<
,.. Marcy Kru ine
IS/~
8y:
~.~
CONTRACT SPECIALIST , '-7
BY~_~.. . )J! YL~:
v , . WoCld