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12-014.00 CH2M Hill: Sullivan West Bridge ReplacementWr Washington State AlF Department of Transportation Supplemental Agreement Organization and Address Number 2 CH2M HILL, INC. 717 West Sprague, Avenue, Suite 800 Spokane, WA 99201 -3911 Original Agreement Number Sullivan Road W Bridge Replacement #0155 Phone: (209) 747 -2000 Project Number Execution Date Completion Date BRM 4103 007 11/8/2011 1 12/31/2013 Project Title New Maximum Amount Payable SULLIVAN ROAD WEST BRIDGE $ 569,411.00 Description of Work Professional services to support and provide preliminary design, including environmental permitting for geotechnical services, and geotechnical investigations and recommendations. The Local Agency of City of Spokane Valley, Washington desires to supplement the agreement entered into with CH2M HILL, INC. and executed on 11/8/2011 and identified as Agreement No. 0155 All provisions in the basic agreement remain in effect except as expressly modified by this supplement. The changes to the agreement are described as follows: Section 1, SCOPE OF WORK, is hereby changed to read: 11 Section IV, TIME FOR BEGINNING AND COMPLETION, is amended to change the number of calendar days for completion of the work to read: N/A - Thic is a Tern time change supplement III Section V, PAYMENT, shall be amended as follows: N/ - This is a zero rnst change supplement as set forth in the attached Exhibit A, and by this reference made a part of this supplement. If you concur with this supplement and agree to the changes as stated above, please sign in the appropriate spaces below and return to this office for final action. By: Roger W Flint Consultant Signature DOT Form 140 -063 EF Revised 9/2005 By: ILC f0 Ap o ng Authority Signature Date DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE The page entitled " G -1 / Subconsultant Fee Determination — Detailed Manhour Breakdown contains confidential cost and rate data and is withheld from public disclosure pursuant to 23 USC 112(2)(F). Prenotification; confidentiality of data A recipient of funds requesting or using the cost and rate data shall notify any affected firm before such request or use. Such data shall be confidential and shall not be accessible or provided, in whole or in part, to another firm or to any government agency which is not part of the group of agencies sharing cost data under this paragraph, except by written permission of the audited firm. If prohibited by law, such cost and rate data shall not be disclosed under any circumstances. You may petition for a review of our findings pertaining to any redacted or withheld documents pursuant to Spokane Valley Municipal Code (SVMC) 2.75.080; and obtain judicial review pursuant to RCW 42.56.550. Exhibit G Subcontracted Work The AGENCY permits subcontracts for the following portions of the work of this AGREEMENT: DOT Form 140 -089 EF Exhibit G Revised 6/05 DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE The page entitled " G -1 / Subconsultant Fee Determination — Summary Sheet contains confidential cost and rate data and is withheld from public disclosure pursuant to 23 USC 112(2)(F). Prenotification; confidentiality of data A recipient of funds requesting or using the cost and rate data shall notify any affected firm before such request or use. Such data shall be confidential and shall not be accessible or provided, in whole or in part, to another firm or to any government agency which is not part of the group of agencies sharing cost data under this paragraph, except by written permission of the audited firm. If prohibited by law, such cost and rate data shall not be disclosed under any circumstances. You may petition for a review of our findings pertaining to any redacted or withheld documents pursuant to Spokane Valley Municipal Code (SVMC) 2.75.080; and obtain judicial review pursuant to RCW 42.56.550. DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE The page entitled " William P. Ott — Revised Hourly Rate Statement contains confidential cost and rate data and is withheld from public disclosure pursuant to 23 USC 112(2)(F). Prenotification; confidentiality of data A recipient of funds requesting or using the cost and rate data shall notify any affected firm before such request or use. Such data shall be confidential and shall not be accessible or provided, in whole or in part, to another firm or to any government agency which is not part of the group of agencies sharing cost data under this paragraph, except by written permission of the audited firm. If prohibited by law, such cost and rate data shall not be disclosed under any circumstances. You may petition for a review of our findings pertaini pursuant to Spokane Valley Municipal Code (SVK pursuant to RCW 42.56.550.