Re FW Amendment #001 to Contract CS170042008 Attachment 5 22 2017

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STATE OF WISSOURE
OFFICE OF ADMINISTRATION

DIVISION OF PURCHASING AND MATERIALS MANAGEMENT (DPMM)
CONTRACT AMENDMENT

AMENDMENT NOs DOL REQ NO. NR 30030007000007
CONTRACT NO.: CS170042008 BUYER! lie Kleffner

TITLE: Alternatives to Abortion Program PHONE NOj ($13) 751-7686,
ISSUE DATE: O51717 E-MAIL: Juli hlffnerana.mo.cov

TO: MOTHERS REFUGE
HigQ0E QNDST § STE #220
INDEPENDENCE MO 64085-4871

REURN AMENDMENT BY NO LATER THAN: 0800/17 AT 5:00 PM CENTRAL TIME

RETURN AMENDMENT TO THE DIVISION OF PURCHASING AND MATERIALS MANAGEMENT (DPM)
BY E-MAIL, FAX, OR MAIL/COURIER:

‘ile etinesates nage" |
er) 6H6. a

fn, 6 Boia Ci ie 0-088
tps 501 Wes High Sie, Room 50, ees

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EAS TO:

MAlitS:
_COUMIERIDELAVER TO,

lig aie ie i8i

DELIVER SUPPLIESSRRVICES FOR (Fret On Wourd) DESTINATION TO THE FOLLOWING ADDRESS:

‘Office of Administration
‘Commisioners Ofice
State Caplto Building, Room 125
Jefferson City MO 65101

SIGNATURE REQUIRED
Moe’ Refs sancoroass
i005, Souh_ sua 20
Inspr, MO 64055
koe ate abbey
nesssa0r0_tsT6
Ceieain Nal Gantgceet _ Teeny ttn _ irises
PD Ex Qo May, 2007
Robert F. Zones, ig) Executive Director
Page 2

AMENDMENT #001 TO CONTRACT CS170042008

CONTRACT TITLE:

Alternatives ty Abortion Progsatn
CONTRACT PERION: §—Februsry 1,2017 through Jone 30, 2017,
Pursue: te paragraph 21.2 b, the Site of Missouri hereby amends the above referenced conto inerease the
lola allocated funding for Region 3 by $37,805.56 forth shove contact potiad as shewa helew. The allocation
adjustments necessary due te monthly usage and project usage.

Goographic Region: $100,802.64
All he: tess, sonitions and provisions ofthe contact shall remain the same and epply hereto.

‘The contacter shall sign and rezua this document on or before the date indicated, signifying acceptance of te
amendment