028-16 - WA State Department of Licensing - Contract Amendment 1DocuSign Envelope ID: A0298F48-43CF-4548-B255-3E28B43585C8
WASXINGTpNSTATE DEPARTMENT OF
CONTRACT AMENDMENT BETWEEN
DOL Contract No. K5941
L
DEPARTMENT
NT OF LICENSING
CIJ LICENSING
AND
Amendment No. 1
PORT ORCHARD TRANSPORTATION BENEFIT
DISTRICT (TBD)
Amendment
The purpose of this amendment is to:
1. Update DOL Contract Manager, effective immediately;
2. Add the following language to the "Fee Collection" section of the contract.
- "A change in the amount of fee collected will be implemented no less than one hundred twenty (120) days from the
time the DOL Contract Manager receives a copy of the signed and dated Ordinance or Resolution changing the fee."
Contractor
Contract manager
(Area code) Telephone
E-Mail
Noah Crocker
ncrocker(cbportorchardwa.gov
Department of Licensing (DOL)
DS
Contract manager
(Area code) Telephone
E-Mail
L60
Brad DeVol
(360) 634-5131
bdevol(cDdol.wa.gov
Attachments (when applicable)
Amendment
The execution of this Amendment shall constitute a ratification of any earlier agreement between the parties,
hereto, the terms and conditions of which are contained herein. The parties have executed this Amendment as
the later signature dates included below. All other terms and conditions of the original Contract and any
subsequent amendments there to remain in full force and effect. The parties hereby acknowledge and accept the
terms and conditions of this amendment which is executed by the persons signing below who warrant that they
have the authority to execute it on behalf of DOL and the Contractor.
Contractor Date
Department of Licensing Date
DocuSigned by:
DocuSigned by::
YhbU% P4AGM SWA, 4/17/2023
U64 4/18/2023
Name
Name
Robert Putaansuu
Evelyne Lloyd
Title
Print Title
City Mayor
Assistant Director, Administrative Services Division
Port Orchard
Department of Licensing
E-Mail
E-Mail
rputaansuu@portorchardwa.gov
ELlovd(cDdol.wa.gov
Phone
Phone
(360) 876-4407
(360) 902-4044
K5941-01
DocuSign Envelope ID: A0298F48-43CF-4548-B255-3E28B43585C8
This Contract is hereby amended as follows:
• CONTRACT MANAGEMENT
Update DOL Contract Manager
The DOL Contract Manager identified on page one (1) of the original contract is hereby updated to
the Contract Manager listed on page one (1) of this amendment.
• FEE COLLECTION
Add language to the "Fee Collection" section of the contract
A change in the amount of fee collected will be implemented no less than one hundred twenty
(120) days from the time the DOL Contract Manager receives a copy of the signed and dated
Ordinance or Resolution changing the fee.
****REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK*****