Amendment to Professional Services Contract Wp

1. Agency Contact Number STATE OF ALASKA 2. Contract Title BILATERAL AMENDMENT TO STANDARD CONTRACT FORM Goods and Non-Professional Services 3. Optional Renewal? Yes No Renewal Option ___ of ___

4. Agency Fund & Appropriation Code

5. IRIS GAE Number (if used)

6. Amendment No.

This agreement is between the State of Alaska, 7. Department of hereafter the State, and 8. Contractor hereafter the Contractor Mailing Address Street or P.O. Box City State ZIP Code

9. This Amendment Serves To: A.

10. CONTRACTOR 11. CONTRACTING AGENCY Name of Firm Department/Division

Signature of Authorized Representative Signature of Procurement Officer

Typed or Printed Name of Authorized Representative Typed or Printed Name of Procurement Officer

Date Date 1. Agency Contact Number STATE OF ALASKA 2. Contract Title UNILATERAL AMENDMENT TO STANDARD CONTRACT FORM 3. Optional Renewal? Yes No Goods and Non-Professional Services Renewal Option ___ of ___

4. Financial Coding

5. Agency Assigned Encumbrance Number

6. Amendment No.

This agreement is between the State of Alaska, 7. Department of hereafter the State, and 8. Contractor hereafter the Contractor Mailing Address Street or P.O. Box City State ZIP Code

9. This Amendment Serves To: A.

10. CONTRACTING AGENCY

Department/Division

Signature of Procurement Officer

Typed or Printed Name of Procurement Officer

Date 11. Continuation of amended provisions.