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AECOM
558 North Main Street,Oshkosh,WI 54901 y
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Amendment to Agreement Form
Amendment No. 1
Libbey/Nicolet Watersheds Storm Water Detention Basins
AECOM Project No. 60276212
City of Oshkosh Purchase Order No. 119148
RETURN TO: AECOM Date: March 26, 2013
558 North Main Street
Oshkosh, WI 54901
Attention: Michelle Freimund
SUMMARY: Original Contract Amount: $ 3,000
Total Previous Change Orders: $ 0
Amount this Change Order: $ 3,300
Revised Contract Amount $ 6,300
Amendment# DESCRIPTION AMOUNT
1
Complete a pre-demolition asbestos and
hazardous materials survey of property and
buildings located adjacent to the south of
2490 Jackson Street, the west end of parcel $3,300
number 0180203. The buildings are being
demolished as part of the development of the
Libbey/Nicolet Watersheds Storm Water
Detention Basins in this area.
AECOM City of Oshkosh
By: —�- F By: NEx7
Paul F. Timm
Title: Account Manager Title:
Date: ` / _ ? - f 3 Date:
M
By: s ■ I
avid Senfelds
Title: Office Manager
Date: a —
AECOM AECOM 920.235.0270 tel
558 North Main Street 920.235.0321 fax
Oshkosh,Wisconsin 54901
Authorization
March 26, 2013
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 the Amendment No. 1 to
AECOM's proposal Proposal for an Environmental Review of Historical Records for the Proposed
Libbey/Nicolet Watersheds Storm Water Detention Basins, dated September 4, 2012, with an
original budget authorization of$3,000, for a revised budget authorization of$6,300 under the
general terms and conditions specified in the proposal.
Signdture Date
Mark A Rohloff
Print Name
City Manager
Title/Organization
J
k. /�X- j ! - %G - 7Uf`3''-la)(1H/(;)
Signature Date
Pamela R. Ubrig;
Print Name
City Clerk
Titl- •rganization
A AAA _si�'.1 !.AMA• 4-10'1 3
Si.' '- Date
Lynn •. Lorenson;
Print Name
City Attorney
Title/O anization
S.1:077)--- (/l/ic/i 3
Signature Date
Peggy A. Steeno
Print Name
Director of Finance
Title/Organization
To enhance and sustain the world's built,natural and social environments
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the intended recipient,please delete and note that dissemination,distribution,or copying of this communication is prohibited.
Thank You.
AECOM 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
558 North Main Street
Address: Oshkosh,WI 54901
Fax: 920.235.0321
Phone: 920.236.6718
To enhance and sustain the world's built,natural and social environments
This fax is a confidential communication intended for the individual or entity named above. If the reader of this message is not
the intended recipient,please delete and note that dissemination,distribution,or copying of this communication is prohibited.
Thank You.