Gravel Road

APPENDIX H. CONTRACT AMENDMENT & INSTRUCTIONS

Simple amendment form that can be used to increase the funding amount or extend the completion date of an existing contract. (funding can only be increased by 20 percent over original contract)

  • Contract Amendment (69.9 KB): Simple amendment form that can be used to increase the funding amount or extend the completion date of an existing contract. (funding can only be increased by 20% over original contract). Thanks to Allegheny County for creating the fillable form.

SECTION 9106 OF THE PENNSYLVANIA VEHICLE CODE
DIRT, GRAVEL AND LOW VOLUME ROAD MAINTENANCE
Amendment Instructions

The following instructions pertain to the Dirt, Gravel and Low Volume Maintenance Program Amendment.  These instructions are to act as a guide only.  Note that all fields are required unless indicated otherwise.

It is strongly recommended project participant and Conservation District representatives hold an on-site meeting to complete this amendment.

Header Information:

  • Amendment # __________ – The unique number that identifies this amendment.
  • __________ County – The County the road project in question is within.
  • And _____________ – The recipient of the Dirt, Gravel, and Low Volume Road Maintenance grant (Project Participant)

Original Contract Information:

  • exceeding $ __________ – The total amount originally funded for this project.
  • no later than  _________ – The original expected completion date of the project.

(1):

  • exceeding $ __________ – The additional funds available to complete the work. This amount cannot be greater than 20% of the amount originally awarded. For example, if the original contract's grant was for $10,000 then the maximum amendment allowed is $2,000.
  • entire project is increased to $ __________ – The sum total of the original contract plus the amendment. Using the example above, this would be $12,000 ($10,000 + $2,000).

(2):

  • extend the project completion date to  _________ – The amended expected completion date of the project.

Finalizing the Contract:

  • For the District
    • Signed - The signature of the Conservation District representative.
    • Date – The date the Conservation District representative signed the Amendment.
    • Print Name – The name of the Conservation District representative.
    • Title – The title of the Conservation District representative.
  • For – The Project Participant.
    • Signed – The signature of the Project Participant representative.
    • Date – The date the Project Participant representative signed the Amendment.
    • Print Name – The name of the Conservation District representative.
    • Title – The title of the Conservation District representative.