HomeMy WebLinkAboutCAG2022-056 - Amendment - #1 - Arbinger Institute, LLC - Leadership Development Program: Travel Reimbursement - 10/25/2022Ap
p
r
o
v
a
l
Originator:Department:
Date Sent:Date Required:
Mayor or Designee
Date of Council Approval:
Grant? Yes No
Type:
Re
v
i
e
w
/
S
i
g
n
a
t
u
r
e
s
/
Ro
u
t
i
n
g
Date Received: City Attorney:
Comments:
Date Routed: Mayor’s Office City Clerk’s Office
Ag
r
e
e
m
e
n
t
I
n
f
o
r
m
a
t
i
o
n
Vendor Name:Category:
Vendor Number:Sub-Category:
Project Name:
Project Details:
Agreement Amount:
Start Date:
Local Business? Yes No*
Business License Verification:
If meets requirements per KCC 3.70.100, please complete “Vendor Purchase-Local Exceptions” form on Cityspace.
Yes In-Process Exempt (KCC 5.01.045)
Notice required prior to disclosure?
Yes No
Contract Number:
This form combines & replaces the Request for Mayor’s Signature and Contract Cover
Sheet forms. (Print on pink or cherry colored paper)
Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20
Budget Account Number:
Budget? Yes No
Dir Asst:
Sup/Mgr:
Dir/Dep:
rev. 20210513
FOR CITY OF KENT OFFICIAL USE ONLY
Agreement Routing Form
For Approvals, Signatures and Records Management
(Optional)
Basis for Selection of Contractor:
* Memo to Mayor must be attached
Termination Date:
Authorized to Sign:
KENT
Wa s H r il c r o N
AMENDMENT NO. 1
NAME OF CONSULTANT OR VENDOR:Arbinger Institute, LLC
CONTRACT NAME & PROJECT NUMBER:Leadershio Develooment Proq ram
ORIGINAL AGREEMENT DATE :Februarv 1O, 2O22
This Amendment is made between the City and the above-referenced Consultant or Vendor
and amends the original Agreement and all prior Amendments. All other provisions of the original
Agreement or prior Amendments not inconsistent with this Amendment shall remain in full force
and effect. For valuable consideration and by mutual consent of the parties, Consultant or
Vendor's work is modified as follows:
1. Pursuant to the provisions of Section III, "Compensation," requiring a contract
amendment to authorize travel costs for reimbursement, the contract amount is modified in
accordance with invoices #46666 and #48724 submitted by Vendor, attached hereto as Exhibit
A, as follows:
Original Contract Sum,
including applicable WSST
$27,502,36
Net Change by Previous Amendments
including applicable WSST
$N/A
Current Contract Amount
including all previous amendments
$27,502.36
Current Amendment Sum $2042.ss
Applicable WSST Tax on this
Amendment
$N/A
Revised Contract Sum $29,544.91
The Consultant or Vendor accepts all requirements of this Amendment by signing below, by
its signature waives any protest or claim it may have regarding this Amendment, and
acknowledges and accepts that this Amendment constitutes full payment and final settlement of
all claims of any kind or nature arising from or connected with any work either covered or affected
by this Amendment, including, without limitation, claims related to contract time, contract
acceleration, onsite or home office overhead, or lost profits. This Amendment, unless otherwise
provided, does not relieve the Consultant or Vendor from strict compliance with the guarantee and
warranty provisions of the original Agreement.
All acts consistent with the authority of the Agreement, previous Amendments (if any), and
this Amendment, prior to the effective date of this Amendment, are hereby ratified and affirmed,
and the terms of the Agreement, previous Amendments (if any), and this Amendment shall be
deemed to have applied.
The parties whose names appear below swear under penalty of perjury that they are
authorized to enter into this Amendment, which is binding on the parties of this contract.
AMENDMENT-1OF2
CONSULTANT/VENDOR:
By:
(signature)
Print Name:
(titte)
DATE
CITY OF KENT:
By:
Print Name:
(tiile)
DATE
ATTEST:
Kent City Clerk
APPROVED AS TO FORM:
(applicable if Mayor's signature required)
Kent Law Department
IN WITNESS, the parties below have executed this Amendment, which will
become effective on the last date written below.
Un thls field, you may enter the electEnic fllepath where the @ntract has been savedl
AMENDMENT-2OF2
Amy Sadeghzadeh
Senior Vice President, The Arbinger Institute
20221025
EXHIBIT A
Arbinger Institute, LLC
686 N. Arbinger Way, Suite 200
Farmington,UT 84025
BillTo
Kent Police Department
220 Fourth Avenue South
Kent, WA 98032
Banking Instructions
Bank Name: Zions Bank
310 South Main St.
sl,c, ur 84101
Beneficiary: The Arbinger Company or Arbinger Institute, LLC
Bank Account: 003468998
ABA/Routing #: 124000054
SWFT: ZFNBUS55
Phone #
801 447 9244
Invoice
Date lnvoice #
61612022 46666
1
P.O. No.Terms Project
59802 Due on Receipt
Description otv Rate Amount
Event date February 10-11,2022
Reimbursable travel for Chip Huth
Airfare
Car rental
Fuel
Hotel
Meals
Parking
Travel Service Fee
442.21
274.22
19.00
4s1.12
114.43
185.53
25.00
442.21
274.22
19.00
451.12
114.43
185.53
25.00
Subtotal usD 1,511.51
Sales Tax (10.4%)USD O.OO
Total usD 1,511.51
Payments/Gredits USD O.OO
Balance Due usD r,srl.sl
Arbinger Institute, LLC
686 N. Arbinger Way, Suite 200
Farmington, UT 84025
BillTo
Kent Police Department
220 Fourth Avenue South
Kent, WA 98032
Banking Instructions
Bank Name: Zions Bank
310 South Main St.
sl,c, uT 84101
Beneficiary: The Arbinger Company or Arbinger Institute, LLC
Bank Account: 003468998
ABA./Routing #: 124000054
SWFT: ZFNBUSSS
Phone #
80t 447 9244
Invoice
Date lnvoice #
8t12t2022 48724
2
P.O. No.Terms Project
59802 Due on Receipt
Description Qtv Rate Amount
Event date February 78,2022
Reimbursable travel for Desmond l,omax
Car rental
Hotel
Meals
Parking
Travel Service Fee
I
I
I
1
I
172.35
243.39
8s.30
5.00
25.00
172.35
243.39
85.30
5.00
25.00
Subtotal usD 531.04
Sales Tax (10.4%)usD 0.00
Total usD 531.04
Payments/Credits USD O.OO
Balance Due usD 531.04