Laserfiche WebLink
INTERAGENCY MEMORANDUM OF AGREEMENT <br /> MODIFICATION FORM <br /> STATE OF HAWAII <br /> DEPARTMENT OF HEALTH <br /> Date September 16, 2015 <br /> MODIFICATION ORDER NO. 1 <br /> Contractor/Provider Hawaii County Planning Department <br /> Contract Title Complete Streets training and capacity building for Hawaii County Planning <br /> Department Staff involved in implementing Complete Streets policy <br /> A. MODIFICATIONS <br /> The following modifications are to be performed in accordance with all 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 contract). <br /> See attachment for contract modifications. <br /> B. CONTRACTOR/PROVIDER's QUOTATION <br /> The modifications described in A, above, will be performed at a contract <br /> price ® increase ❑ decrease of$ 35,000.00. <br /> The Contractor/Provider will not undertake to perform the changes in A, above, <br /> until this modification order has been approved and issued. <br /> Approved as to legality&form <br /> Mayor County Attorney <br /> County of Hawaii <br /> C. STATEMENT OF CONTRACT FUNDS <br /> Original Contract Price $ 7,500.00 <br /> Previous Adjusted Contract Price $ N/A <br /> Amount of this Change: Plus ® Minus ❑ $ 35,000.00 <br /> New Adjusted Contract Price $ 42,500.00 <br /> D. VALIDATION OF CONTRACT MODIFICATION <br /> Administrator, Date <br /> Chronic Disease Prevention and <br /> Health Promotion Division <br /> DOH REF. NO. HHI-17-2015 <br />