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Systems Design West, LLC 6/24/2024 Amendment 1
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Systems Design West, LLC 6/24/2024 Amendment 1
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Entry Properties
Last modified
6/25/2024 2:13:33 PM
Creation date
6/25/2024 2:13:21 PM
Metadata
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Template:
Contracts
Contractor's Name
Systems Design West, LLC
Approval Date
6/24/2024
Council Approval Date
6/12/2024
Department
Fire
Department Project Manager
Dave DeMarco
Subject / Project Title
Emergency medical transport billing services - dditional work to address Medicare reporting requirem
Amendment/Change Order
Amendment
Amendment/Change Order Number
1
Tracking Number
0003405
Total Compensation
$35,000.00
Contract Type
Agreement
Contract Subtype
Professional Services (PSA)
Retention Period
6 Years Then Destroy
Imported from EPIC
No
Document Relationships
Systems Design West LLC 6/22/2022
(Amendment)
Path:
\Documents\City Clerk\Contracts\Agreement\Professional Services (PSA)
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Any ink, electronic, faxed, scanned, photocopied, or similarly <br />reproduced signature on this Amendment will be deemed an original <br />signature and will be fully enforceable as an original signature. <br />All provisions in the Agreement shall remain in effect except as <br />expressly modified by this Amendment. From and after the effective <br />date of this Amendment, all references to the Agreement in the <br />Agreement are deemed references to the Agreement as modified by <br />this Amendment. <br /> <br />IN WITNESS WHEREOF, the City and Service Provider have executed this Amendment. <br /> <br />CITY OF EVERETT <br />WASHINGTON <br /> <br /> <br /> <br />____________________________ <br />Cassie Franklin, Mayor <br /> <br /> <br /> <br />______________________________ <br />Date <br />SYSTEMS DESIGN WEST, LLC <br /> <br /> <br /> <br /> <br />Signature: ____________________________ <br /> <br />Name of Signer: Jennifer Braus <br />Signer’s Email Address: jennb@sdwems.com <br />Title of Signer: CEO <br /> <br /> <br />ATTEST <br /> <br /> <br /> <br />______________________________ <br />Office of the City Clerk <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> STANDARD DOCUMENT <br />APPROVED AS TO FORM <br />OFFICE OF THE CITY ATTORNEY <br />JULY 14, 2023 <br />Jennifer Braus <br />06/24/2024
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