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The following is a description of the revisions to the Fee Summary: <br />a. Survey: <br />• Survey for additional sidewalk and approach replacement along Bergan St., Brookfield St., and <br />Hamilton St. outside of the original scope of work. <br />• Survey for Additional sidewalk, curb ramps, and drive approaches outside of the original scope of <br />work. <br />h. Stage 3 Plan Submission: <br />• Additional Design of Sidewalk and Approach replacement along Bergan St., Brookfield St., and <br />Hamilton St. outside of the original scope of work. <br />• Additional Design of sidewalk, curb ramps, and drive approaches outside of the original scope of <br />work. <br />j. Geotechnical: <br />• iNDOT has determined that a Geotechnical report will be necessary and will need to be submitted <br />with Stage 3 plans. <br />VI. Modification: <br />This Supplemental Agreement, in the amount of $25,834.50, changes the contracted maximum <br />not to exceed amount for this contract from $185,108.00 to $210,942.50. <br />The undersigned attests, subject to the penalties for perjury, that he is the contract party, or that he is the <br />representative, agent, member or officer of the CONSULTANT that he has not, nor has any other <br />member, employee, representative, agent or officer of the firm, company, corporation or partnership <br />represented by him, directly or indirectly, to the best of his knowledge, entered into or offered to enter into <br />any combination, collusion or agreement to receive or pay, and that he has not received or paid, any sum <br />of money or other consideration for the execution of this Contract other than that which appears upon the <br />face of the contract. <br />Page 2 of 3 <br />