HomeMy WebLinkAboutPK17-203 - Amendment - #1 - West Fenwick Futsal Court - 12/04/2018 �. KENT Records Management Document
9
CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission
to the City Clerk's Office. All portions are to be completed.
If you have questions, please contact the City Clerk's Office at 253-856-5725.
Vendor Name:
King County Parks
Vendor Number (]DE):
Contract Number (City Clerk): N_n -ZU Zj
Category: -Grant Related Agreement (Non-Real Property)
Sub-Category (if applicable): Amendment -gyp Clynyt+-
Project Name:
West Fenwick Futsal Court
Contract Execution Date: 4/4/17 Termination Date: 12/31/19-NEW
Lynn Osborn/BH Parks
Contract Manager: Department:
Contract Amount: $75 7 000
Budgeted: 1-1 Grant?
Part of NEW Budget: Local: 7 State: ❑ Federal:
Related to a New Position:
Basis for Selection of Contractor? Other
Approval Authority: ❑ Director 7 Mayor F1City Council
Other Details: Amendment#1 extending the contract duration by 12 months
(Division Contract#PPD17-05)
W- KingCounty CONTRACT AMENDMENT Page 1 of 1 Pages
PROJECT NAME West Fenwick Futsal Court CONTRACT NO. 5217135
DATE ENTERED 01101117
AGENCY/CONTRACTOR City of Kent Parks and Recreation AMENDMENT NO. I
DATE ENTERED 12/4/18
ADDRESS 220 4"Ave S
Kent,WA 98032
AMENDMENT REQUESTED BY AMENDMENT EFFECTS
Parks and Recreation
Organization Scope of Services Method of Payment
Time of Performance Reliance
Kevin Brown,Director Compensation Terms&Conditions
Name Results of Services
Amend: Page 1,Contract Period To
December 31,2018
To Read: Page 1,Contract Period To
December 31,2019
IN WITNESS HEREOF,the parties hereto have caused this amendment to be executed and instituted on the
date first above written,
KING COUNTY, WASHINGTON ACKNOWLEDGEMENT AND ACCEPTANCE
AGENCY/CONTRACTOR:
City of Kent Parks and Recreation
By � By
Title - ,,r, „� Title Ma U or
Date_ Date '-741-7
REQUEST FOR MAYOR'S SIGNATURE
KENT
W
Routing Information:
(ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) PPD°< "
Approved by Director �^
Originator: Lynn Osborn for Bryan Higgins Phone (Originator): x5111
Date Sent: 12/4/2018 Date Required: Soonest possible please
Return Signed Document to: Lynn Osborn Contract Termination Date: 12/31/2019
VENDOR NAME: Date Finance Notified:
King County Parks & Recreation (Only required on contracts 4/5/17
20 000 and over or on an Grant
AT C UNC APR AL: A /17CA' Date Risk Manager Notified:
-.(Required on Non-City Standard Contracts/Agreements)
Has this Document l56eK'!1'PMdica P21030 Account Number:
Authorized in the Budget? • YES O NO
Brief Explanation of Document:
This is an amendment to a grant agreement in the amount of $75,000, extending the
contract duration by 12 months. This grant will help fund the design and installation of
a 3,800 square foot futsal court at West Fenwick Park.
REuBVEL.J
R
All Contracts Must Be Routed Through The Law Department
(This area to be o leted by the Law Department)
Received
Approval of Law Dept.: i t
Law Dept. Comments: a
Date Forwarded to Mayor:
Shaded Areas Be m leted By Administration Staff
Received:
Recommendations and Comments:
Disposition: t tf �
Date Returned: " `c M
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