HomeMy WebLinkAboutPK17-203 - Amendment - #2 - West Fenwick Futsal Court •
Agreement Routing Form
KEN T For Approvals,Signatures and Records Management Director initia 1
W ASHINGTON
This form combines&replaces the Request for Mayor's Signature and Contract Cover Sheet forms.
(Print on pink or cherry colored paper) Manager initials
Originator: Lynn Osborn for Bryan Higgins Department. Parks
Date Sent: 11/21/19 Date Required: Soonest possible please
Authorized Director Date of
p. to Sign: ✓ Council n/a
aMayor Approval:
Budget P21030 Grant? ❑✓ Yes No
Account
Number: Type: Local
Vendor
Name:
King County Parks Category. Grant: Non-Real Property
Vendor
C 117456 Sub-Category Amendment
o Number:
M Project
E Name: King County YSFG Grant for West Fenwick Futsal Court
0
= Project
C Details: Amendment #2 for 12-month time extension
E Agreement 75 000 Basis for
y Amount: Selection of Other
L Contractor.
a Start Date: 11/21/19 Termination Date: 12/31/20 - NEW
Notice required prior to 1:1Yes No Contract Number: pK17-203
disclosure?
Date Received by CityAttorney: Comments:'
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11 Date Routed to the City Clerk's Office:
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(Dfficp of the Mayor
Date Sent to Originator.
Visit Documents.KentWA.gov to obtain copies of all agreements
adccW22373_6_19
Is Of
King County CONTRACT AMENDMENT Page 1 of 1 Pages
PROJECT NAME West Fenwick FutsaI Court
CONTRACT NO: 5917135 PROJECT NO: 1131259
DATE ENTERED: 11/21/2019 AMENDMENT NO: 2
AGENCY/CONTRACTOR City of Kent Parks and Recreation
DATE ENTERED 11/21/2019
ADDRESS 220 Fourth Ave. S.
Kent, WA 98032
AMENDMENT REQUESTED BY AMENDMENT EFFECTS
Parks and Recreation
Organization Scope of Services Method of Payment
Time of Performance Reliance
Warren Jimenez Dircctor Compensation Terms&Conditions
Name Results of Services
Amend: Page 1 —Term Period
December 31,2019
To Read: Page I —Term Period
December 31,2020
IN WITNESS HEREOF,the parties hereto have caused this amendment to be executed a i tituted on the
date first above written. �--�
1 _
KING COUNTY, WASHINGTON
ACKNOWLEDGEMENT ACCEPTANCE
AGENCY/CONTRACTOR:
A. jf�Z7
City of Kent Parks and Recreation
By By Dana Ralph
Tit Title Mayor
Date [d'1�' t`1 Date