13-026.00 USKH: Mansfield Connection Mapping & SurveyingSupplemental Agreement
OUS n�lz;ation and Address
Number 1
621 W Mallon St #309
Spokane, WA 99201
Original Agreement Number
12 -034
Phone: 509- 328 -5139
Project Number
Execution Date
Completion Date
CM-1223(002)
9/14/2012 1
12/31/2013
Project Title
New Maximum Amount Payable
Mansfield Ave Connection
$ 21,587.50
Description of Work
Topographic mapping and boundary surveying
The Local Agency of City of Spokane Valley, Washington
desires to supplement the agreement entered into with
USKH
and executed on 9/14/2012 and identified as Agreement No.
12 -034
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:
Crnpp of work is unchanged from nriginal ab eement_
11
Section IV, TIME FOR BEGINNING AND COMPLETION, is amended to change the number of calendar days for
completion of the work to read: Completion (late is revised to Decemher 11, ?011
III
Section V, PAYMENT, shall be amended as follows:
The total maximum amnn it payahl.e is unchanged hy this Supplemental Ac eement
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
halnw anti rati irn to thic nffine fnr final artion_
By: I—,
/'-� cr iL ✓
06nsultant Signature
DOT Form 140 -063 EF
Revised 9/2005
P
By: T, 94
1
Approving Authority Signature
Date
6015 -o2�