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.