CONTRACT AMENDMENT REQUEST FORM (CARF)May 5th, 2020
FiledMay 5th, 2020Original Agreement # 400-09-024 Amendment # 5 Division Agreement Manager: MS- Phone 400 Efficiency Division Daniel Johnson 26 916-651-3746 Contractor’s Legal Name Federal ID Number County of Los Angeles Internal Services Department 95-6000927 Revisions: (check all that apply) Term Extension New End Date: 4 / 30 / 2030 Include revised schedule and complete items A, B,C, D, & H below. Budget Augmentation Amendment Amount: $ 0 Include revised budget and complete items A, B, C,D, E, F, & H below. Budget Reallocation Include revised budget and complete items A, B, C,D, & H below. Scope of Work Revision Include revised scope of work and complete items A,B, C, D, & H below. Change in Project Location or Demonstration Site Include revised scope of work and complete items A,B, C, D, G, & H below. DVBE Replacement Include revised scope of work and complete items A,B, C, D, F, & H below. Novation/Name Change of Prime Contractor/Recipient Include novation documentation and complete itemsA, C