MODIFICATION #Z0229-4 TO SUBGRANT AGREEMENT MODIFICATION # Z0229-4-TO SUBGRANT AGREEMENT
BETWEEN THE DIVISION OF EMERGENCY
MANAGEMENT AND
ClearwaterCit of
This Modification is made and entered into by and between the State of Florida,
Division of Emergency Management ("the Division"), and
ClearwaterCit of ("Sub-Recipient"), to modify
Contract Number Z0229 , which began on 9/04/2017 ("the Agreement").
WHEREAS, the Division and the Sub-Recipient have entered into the
Agreement, pursuant to which the Division has provided a Subgrant to Sub-
Recipient under the public assistance program of $59,150.53 in funds; and,
WHEREAS, the Division and Sub-Recipient desire to modify the Agreement by
increasing the Federal funding $111,288.44 under the Agreement.
WHEREAS, the Division and the Sub-Recipient desire to modify the Scope of Work.
WHEREFORE, in consideration of the mutual promises of the parties contained
herein, the parties agree as follows:
1. The Agreement is hereby amended to increase the Federal funding by
$111,288.44 and the State share by $18,548.0.8 for the maximum
amount payable under the Agreement to $188,987.05
2. The Scope of Work, Attachment A to the Agreement, is hereby modified as set
forth in the 4th Revised Attachment A to this Modification, a copy of which is
attached hereto and incorporated herein by reference.
3. All provisions of the Agreement being modified and any attachments thereto
in conflict with this Modification shall be and are hereby changed to conform
with this Modification, effective as of the date of the last execution of this
Modification by both parties.
4. All provisions not in conflict with this Modification remain in full force and effect,
and are to be performed at the level specified in the Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Modification as of the
dates set out below.
SUB-RECIPIENT: Clearwater City of
CITY OF CLEARWATER, FLORIDA
By: W b- y' cx Date: (!s - `Zo M
William B. Horne II
City Manager
Approv d asZ
: Attest: A
11XLj
M t ew M. m' Rosemarie Call
Assistant City Attorney City Clerk l'�B�/SHED
DIVISION OF EMERGE CY MANAGEMENT
By: �.
L Name and Titl Michael Kennett, Deputy Director
Date: 2
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33
Attachment C
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY
and VOLUNTARY EXCLUSION
Contractor Covered Transactions
(1) The prospective subcontractor of the Sub-recipient, a4r scertifies,by submission of
this document,that neither it nor its principals is presentlV debarrefl,suspended,proposed for
debarment,declared ineligible,or voluntarily excluded from participation In this transaction by any
Federal department or agency.
(2) Where the Sub-recipient's subcontractor is unable to certify to the above statement,the prospective
contract shall attach an explanation to this form.
CONTRACTOR
8y. C Itatu"t t yr
{ Signature �j ub»Recipien res Ngarn
j1® er� Forr.�.Sot� ; ,[eS1cr1� zo, +0� 1
Name and Title DEM Contract Number
3"ll "_)Co-'Cke� -7tJ
Street Address FEMA Project Number
(Y1 ,s mp.c- F L 314`"I rl
City, State,Zip
aoxq
Date
33
Attachment C
CERTIFICATION REGARDING DEBARMENT,SUSPENSION,INELIGIBILITY
and VOLUNTARY EXCLUSION
Contractor Covered Transactions
(1) The prospective subcontractor of the Sub-redpient�,�f i Clq& ertlfiies, by submission of
this document,that neither it nor its principals is presently debarred,suspended, proposed for
debarment,declared ineligible,or voluntarily excluded from participation in this transaction by any
Federal department or agency.
(2) Where the Sub-recipient's subcontractor is unable to certify to the above statement,the prospective
contract shall attach an explanation to this farm.
CONTRACTOR
By,
Signature Sub•-Recipient's ame
L-1
Name an Title DEM Contract Number
I'Aol 11:
Street Address FEMA Project Number
City, Stat ,Zip
Date
33
Attachment C
CERTIFICATION REGARDING DEBARMENT,SU5PENSION, INELIGIBILITY
and VOLUNTARY EXCLUSION
Contractor Covered Transactions
(1) The prospective subcontractor of the Sub-recipient,C certifies,6y submission of
this document, that neither it nor its principals is presently debarred, suspended, proposed for
debarment, declared Ineligible,or voluntarily excluded from participation in this transaction by any
Federal department or agency.
(2) Where the Sub-recipient's subcontractor is unable to certify to the above statement,the prospective
contract shelf attach an explanation to this form.
CONTRACTOR
-'Tv dk- k
By: C' �. Pf�
signature Suh-Recipient's ame
A.p- filga&0 CA z as 197
Name and Title DEM Contract Number
Street Address FEMA Project Number
La rpo AL ,?377
city, State,Zip
Date
33
Attachment C
CERTIFICATION REGARDING DEBARMENT,SUSPENSION,INELIGIBILITY
and VOLUNTARY EXCLUSION
Contractor Covered Transactions
(1) The prospective subcontractor of the Sub-recip€en I,L_t�p�`wattr� CT,certifies, by submission of
this document, that neither It nor its principals is presently debarred, suspended, proposed for
debarment, declared Ineligible,or voluntarily excluded from participation in this transaction by any
Federal department or agency.
(2) Where the Sub-recipients subcontractor is unable to certify to the above statement, the prospective
contract shall attach an explanation to this form.
CONTRACTOR
t�+
J e,\j 7�-.D Ir
By: - Q t � C—l P4rkra tor. C;f w d i�
Signature Sub-Recipients Name
FALL)--� .0 1 e6 ZOA21-)
Name and Title DEM Contract Number
,� 33 `fib aero _ .-7 ( �f'
Street Address FEMA Project Number
--TAry-) o F I 2aL-P'3A
City, State, Elp
Data