IN WITNESS WHEREOF, the parties subscribed their names as of the below date.
FOR THE LESSOR:
Signature: ______________________________
Name: ______________________________
Title: ______________________________
Entity Name: ______________________________
Date: ______________________________
FOR THE GOVERNMENT:
Signature: ______________________________
Name: Jeffrey R. Deering
Title: Lease Contracting Officer
Department of Veterans Affairs
Date: ______________________________
WITNESSED FOR THE LESSOR BY:
Signature: ______________________________
Name: ______________________________
Title: ______________________________
Date: ______________________________
Amendment Form 12 /12
US DEPARTMENT OF VETERANS AFFAIRS
AMENDMENT
AMENDMENT No. P00001
ECMS NO: 36C26120P1165
ADDRESS OF PREMISES:
Corner of Clinton Ave. & Angus St.
Fresno, CA 93721
IFCAP Obligation Number: 570-C04714
THIS AMENDMENT is made and entered into between:
the CITY OF FRESNO, a California municipal corporation
whose address is: 2600 FRESNO STREET FL 3 RM 4019, FRESNO, CA 93721
hereinafter called the City, and the UNITED STATES OF AMERICA, hereinafter called the Government:
City and Government entered into a reimbursement agreement on September 16, 2020 wherein City and Government agreed to share the cost of traffic signal and crosswalk design and construction near the veterans hospital at Angus Street and Clinton Avenue in Fresno, California (Agreement).
WHEREAS, the parties hereto desire to amend the Agreement ( IFCAP Obligation Number 570- C04714), as follows:
1. The Purpose of this Amendment is to provide additional funding for the new traffic signal at the corner of Clinton Avenue and Angus Street in Fresno, California 93721, pursuant to the authority of 38 USC 8108.
2. The Overall Government cost total for the VA portion of the Joint Contribution shall not exceed $401,050.00 without prior written approval from the Contracting Officer. Original Order 36C26120P1165 Funding Joint Contribution (PO 570-C04714) Obligation Amt. $320,000.00 plus $81,050.00 added per this Amendment No.
P00001, for an overall combined total obligation amount of $401,050.00.
NOTE: *The total added to the overall obligation increase by this LA No. P00001 is $81,050.00.
3. The Consideration of {Overall Total Contribution of $401,050.00} represents a complete equitable adjustment for all costs, direct and indirect, associated with the work and time agreed to herein, including but not limited to all costs incurred for extending overhead supervision, disruption or suspension of work, labor, inefficiencies, and this change impact on unchanged work.
4. Please use obligation number 570-C04714 when invoicing.
5. Joint Contribution work to be approved, accepted, and signed off (certified) by the Contracting Officer’s Representative (COR) or authorized Point of Contact (POC) when completed. Joint Contribution payment to
Amendment No. P00001 – 36C26120P1165 PAGE 2 of 2
City: __________ GOVERNMENT: __________ Amendment Form 12/12 be paid in arrears upon inspection and completion, IAW the Prompt Payment Act. *Advanced Payments are not Authorized.
6. All other terms and conditions of the Agreement shall remain in full force and effect .
7. Nothing else follows.