HomeMy WebLinkAboutAECOM/Amend 1/Oaklawn School Impacted Soil A=COM
AECOM
558 North Main Street,Oshkosh,WI 54901
T 920.236.6718 F 920.235.0321
Amendment to Agreement Form
Amendment No. 1
Environmental Services
Addition of Preparation of Low Hazardous Exemption
And Documentation Services
Oak lawn School Impacted Soil
AECOM Project No. 60221649
RETURN TO: AECOM Date: December 3, 2012
558 North Main Street
Oshkosh,WI 54901
Attention: Paul F.Timm
SUMMARY: Original Contract Amount: $ 5,000
Total Previous Change Orders: $ 0.00
Amount this Change Order: $26,500
Revised Contract Amount $ 31,500
Amendment# DESCRIPTION AMOUNT
Data Review, Providing Site Disposal
Recommendations, and Meeting
Attendance $ 3,500
Preparation of Low Hazard
Exemption, Site Topography Survey $ 7,000
and WDNR Review Fee
Preparation and Submittal of NOI,
Including WDNR Fees $ 5,000
Documentation of Disposal and
Regrading the Disposal Site( five, 10 $ 7,500
hour days), including as-built
topography survey
Documentation Report $ 3,500
Estimated Total $26,500
A=COM
AECOM
558 North Main Street,Oshkosh,WI 54901
T 920.236.6718 F 920.235.0321
Amendment to Agreement Form
AECOM� City of Oshkosh
B : ---►— By:
aul F.Timm
Title: Account Manager Title:
Date: /a-3-/ Date:
AECOM
By: l ) 6Dcar)
Day enfelds
Title: Office Manager
Date: /a — 3-
AECOMAECOM 920.235.0270 tel
/�'��\.V 558 North Main Street 920.235.0321 fax
Oshkosh,WI 54901
Authorization for Agreement Amendment Number 1 for
Preparation of Low Hazard Exemption and
Documentation Services Oaklawn Elementary School
Impacted Soil, City of Oshkosh
December 3, 2012
I hereby certify that the necessary provisions have been made to pay the liability, which will accrue
under this contract.
I hereby authorize AECOM to proceed with the scope of work for as described in AECOM's
Amendment Number 1, dated December 3, 2012, with a revised budget authorization of$31,500
under the general terms and conditions specified in the proposal.
� 12/ S j 2-0/2 Se Date
Mark A Rohloff
Print Name
City Manager
Title/O .. ization
/ i f 4. 94.„._ Otrbt)/..)--
Signs ure A i Date
Pamela R. •rig
Print Name
NAAtti City Clerk �( Evekti
Title/(pganization r,
ASigr(at e ) Date
Lynn A. Lorenson
Print Name
City Attorney
Titi I •-nization
.2 , , , icl,2. ____
, i7e_ /434e 4, _c__Se6,,, 2- D
Signature Date
Peggy A. Steeno
Print Name
Director of Finance
Title/Organization
AECOM Environment 2
I agree to accept invoices from AECOM via e-mail and not postal mail:
❑ Yes
Signature:
E-mail address:
Recipient Mr/Ms:
Return to:
Name: Paul Timm
Address: 558 N. Main Street, Oshkosh, WI 54901
Phone: 920-236-6718/920-236-6712
e-mail: Paul.Timm @aecom.com