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Contract Amendment Form - State Of Vermont - Department Of Buildings And General Services

STATE OF VERMONT

CONTRACT AMENDMENT

CONTRACTOR:

CONTRACT #:

CONTRACT AMENDMENT #:

SUBJECT:

Contract #XXXXX, entered into by the Department of Buildings and General

Services, on behalf of the State of Vermont, and by __________________ is amended

as follows:

1. Maximum Amount. The maximum amount payable under this contract,

wherever such references to the maximum amount appear in said contract

shall be changed from $ ___________ to $_____________. An increase

(decrease)

amount of $ XXX.

REMOVE IF SECTION NOT APPLICABLE

2. Contract Term. The end date wherever such references appear in said

contract and its attachments, is changed from __________to

______________.

REMOVE IF SECTION NOT APPLICABLE

3. Attachment A, Scope of Work. The Scope of Services, is hereby [deleted in its

entirety and replaced as set forth in Appendix 1 to this Amendment] OR [modified by

the addition of the following] [OR OTHERWISE AMENDED AS APPROPRIATE]:

REMOVE IF SECTION NOT APPLICABLE

a. Description: ADD $XXX

b. Description: DECREASE $XXX

c. Description: NO DOLLAR CHANGE

d. Etc.

4. Attachment B, Payment Provisions. The payment provisions of this

Contract are amended as follows:

REMOVE IF SECTION NOT

APPLICABLE

 Description:

5. Attachment C: Attachment C: Standard State Contract Provisions for

see attached

Contracts and Grants dated 07/01/2016

, which supersedes all

prior versions of Attachment C.

6. Taxes Due to the State. Contractor further certifies under the pains and

penalties of perjury that, as of the date this contract amendment is

Page 1 of 2

July 1, 2013

Contract Amendment Form - State Of Vermont - Department Of Buildings And General Services