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Date February 17, 2010 ADM. SERV. OFFICE LOG NO. 06 -143 Contractor /Provider County of Hawaii Contract Title Used Oil Collection Program ASO-MOD FORM (rev. 4 /30/04) CONTRACT MODIFICATION FORM FY10 STATE OF HAWAII DEPARTMENT OF HEALTH A. MODIFICATIONS The following modifications are to be performed in accordance with all contract stipulations (specifications, delivery point, rate of delivery, period of performance, price, quantity, or other provisions by mutual action of the parties to the contract). Effective April 1, 2010, the parties mutually agree increase the total amount of compensation by $8,333.00, and use this increase solely for the purpose of conducting public education and outreach for the used oil collection program. Training appropriate personnel, attending conferences, and other related items shall be deemed eligible expenses. All goods and services relating to this activity are to be completed no later than June 30, 2010. The CONTRACTOR shall submit payment invoices no later than September 30, 2010. All other terms and conditions of this Contract shall remain the same. Source of Funds: FY06 FY07 FY08 FY09 S 342 H 000323 00 371 $63,333.00 $67,500.00 $63,333.00 $55,000.00 $63,333.00 MODIFICATION ORDER NO. 7 B. CONTRACTOR/PROVIDER's QUOTATION The modifications described in A, above, will be performed at a contract price ® increase ❑ decrease of $ 8,333.00. The Contractor /Provider will not undertake to perform the changes in A, above, until this modification order has been approved and issued. C. STATEMENT OF CONTRACT FUNDS Original Contract Price Previous Adjusted Contract Price Amount of this Change: Plus Z Minus ❑ New Adjusted Contract Price D. VALIDATION OF CONTRACT MODIFICATION Contractor /Provider's Signature $ 55,000.00 $ 304,166.00 $ 8,333.00 $ 312,499.00 Director of Health Date