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MEMORANDUM OF AGREEMENT <br /> MODIFICATION FORM <br /> STATE OF HAWAII <br /> DEPARTMENT OF HEALTH <br /> MOA Modification No: 1 Date: March 15,2013 <br /> Contractor/Provider: County of Hawaii–Police Department MOA No: 12-13 <br /> MOA Contract Title: Enforcement of the State Law Prohibiting Alcohol Sales to Minors <br /> A. MODIFICATIONS <br /> The following modifications are to be performed in accordance with all MOA contract <br /> stipulations(specifications, delivery point,rate of delivery,period of performance,price, <br /> quantity, or other provisions by mutual action of the parties to the MOA contract. <br /> Effective May 31, 2013,the parties mutually agree to extend the performance period <br /> from June 1, 2013 to May 31,2014. All other terms and conditions shall remain the <br /> same. <br /> B. MOA CONTRACTOR/PROVIDER'S QUOTATION <br /> The modifications described in A,above,will be performed at a MOA contract <br /> price X increase decrease of$12,000.00. The Contractor/Provider will not <br /> undertake to perform—the changes in A, above,until this modification order has been <br /> approved and issued. <br /> Contractor/Provider's Signature <br /> C. STATEMENT OF MOA CONTRACT FUNDS <br /> Original MOA Price $ 12,000.00 <br /> Previous Adjusted MOA Price $ N/A <br /> Amount of this Change: Plus X Minus 12,000.00 <br /> New Adjusted MOA Price $ 24,000.00 <br /> D. VALIDATION OF MOA CONTRACT MODIFICATION <br /> Nancy A. Haag, Division Chief Date <br /> Alcohol and Drug Abuse Division <br /> MOA Modification Form <br />