HomeMy WebLinkAboutIMS Infrastructure ®® Washington State MC Contract#19-116
Department of Transportation
Supplemental Agreement Organization and Address
Number I IMS Infrastructure Management Services,LLC
Original Agreement Number 1820 W.Drake Dr.Ste 104
Tempe,AZ 85283-4312
19-10
Phone: (480)462-4030
Project Number Execution Date Completion Date
12/17/19 4/30/2020
Project Title New Maximum Amount Payable
Safety Plan Data Collection N/A
Description of Work
Collecting safety plan data,manage the data and provide it in a form compatible with Mobility.Includes rating and providing
imaging.
The Local Agency of Mason County
desires to supplement the agreement entered in to with IMS Infrastructure Management Services,LLC
and executed on 12/17/19 and identified as Agreement No. 19-10
All provisions in the basic agreement remain in effect except as expressly modified by this supplement.
The changes to the agreement are described as follows:
Section 1,SCOPE OF WORK, is hereby changed to read:
Time extension with no change in contract amount.
II
Section IV,TIME FOR BEGINNING AND COMPLETION, is amended to change the number of calendar days
for completion of the work to read: Completed by April 30,2020
Section V, PAYMENT,shall be amended as follows:
N/A
as set forth in the attached Exhibit A, and by this reference made a part of this supplement.
If you concur with this supplement and agree to the changes as stated above, please sign in the Appropriate
spaces below and return to this office for final action.
By: OPrekr 7.4 r✓ler By-Kevin Shutty
rf
Consultant Signature Approving Authority Signature
/,2 h 7/1 Date
DOT Form 140-063
Revised 09/2005