HomeMy WebLinkAboutAECOM/Campbell Crk Storm Water Modeling & Design/Amend 4AECOM
1555 N RiverCenter Drive, Suite 214
Milwaukee, WI 53212
T 414-944-6080 F 414-944-6081
Amendment to Agreement Form
Amendment No. 4
Campbell Creek Storm Water Modeling and Design
AECOM Project No. 60188754
City PO No. 114990
A=COM
�
� RECEIVED
SEP -12015
vOSHKOOSH WIISCONOSIN
RETURN TO: AECOM
1555 N River Center Drive, Suite 214
Milwaukee, WI 53212
Attention: Chuck Boehm
Date: September 1, 2015
SUMMARY: Originat Contract Amount: $ 381,320
Total Previous Amendment: $ 151,121
Amount of this Amendment: $ 6,000
Revised Contract Amount $ 545,441
Amendment # DESCRIPTION
4 Additional effort related to the development
of Armory O&M plan document as confirmed
by the City via email on June 25, 2015.
All other project conditions remain
unchanged.
��� �� �r
By:
Paul F. Timm
Title: Account Manacter
Date: 7/17/2015
AECOM'�� � f�
By:
C���'<--C'", � �.
Patrick Clifford
Title: District Manaqer
Date: 7/17/2015
City of Oshkosh
AMOUNT
$ 6,000
Tota{ $ 6,000
By:��:.-- .��,/f�/�-
Title:
Date: l
/� , CO� AECOM 920.235.0270 tel
��� 558 North Main Street 920.235.0321 fax
Oshkosh, Wisconsin 54901
Authorization
September 1, 2015
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 amendment no 4 to the scope of work outlined in the
proposal Campbell Creek Storm Water Modeling and Design and previous amendments No 1-3
for the addition of preparing and submitting the Armory Detention Basin Operation and
Maintenance Plan for an additional $6,000. The amended budget will be $545,441 under the
general terms and conditions specified in the proposal.
�i��. ��/�l
Signat e
Mark A Rohloff
Print Name
City Manager
nization
� ���
Signature
Pamela R. Ubrig;
Print Name
� ��
Date
Date
�l to��D�S
City Clerk
Title/Organization
�j� 1 �-�U t5"
i t e Date
Lynn A. Lorenson;
Print Name
City Attorney
Title/Organization
,(��:.t ��C�A.(� f►�1
Signature
Trena Larson
Print Name
Director of Finance
Title/Organization
( � 1 t�-1 � �,
Date
To enhance and sustain the world's built, natural and social environments
AECOM
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 North Main Street
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.