HomeMy WebLinkAbout083-24 - Department of Health - Contract Amendment 1. Washington State Department of
HEALTH CONTRACT AMENDMENT
1. NAME OF CONTRACTOR
2. CONTRACT NUMBER
City of Port Orchard
PCL29176
Ia. ADDRESS OF CONTRACTOR (STREET)
2a. AMENDMENT NUMBER
216 Prospect Street
I
lb. CITY, STATE, ZIP CODE
Port Orchard, WA 98366-5326
3. ® THIS ITEM APPLIES ONLY TO BILATERAL AMENDMENTS.
The Contract identified herein, including any previous amendments thereto, is hereby amended as set forth in Item
5 below by mutual consent of all parties hereto.
4. ❑ THIS ITEM APPLIES ONLY TO UNILATERAL AMENDMENTS.
The Contract identified herein, including any previous amendments thereto, is hereby unilaterally amended as set
forth in Item 5 below pursuant to that changes and modifications clause as contained therein.
5. DESCRIPTION OF AMENDMENT: The purpose of this amendment is to deobligate unused funds ($510,000)
and cancel loan.
Sc. Consideration: This amendment decreases the Contract Consideration by $510,000; therefore, the revised
maximum consideration of this contract and all amendments shall not exceed $0.
5e. The Effective Date of this Amendment: is the Date of Execution.
6. All other terms and conditions of the original contract and any subsequent amendments thereto remain in full force
and effect.
7. ❑This is a unilateral amendment. Signature of contractor is not required below.
Contractor hereby acknowledges and accepts the terms and conditions of this amendment. Signature is required
below.
8. CONTRACTOR SIGNATURE
DATE
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9. DOH CONTRACTING OFFICER SIGNATURE
DATE
12/15/2025
This document has been approved as to form only by the Assistant Attorney General