04 - Amendment 4 (TMobile) 2021 Extension.pdf
PDF 276 KB Posted
- Contract number
- 505ENT-M17-WIRELESSPH-XX
- Issued by
- Wisconsin
About this file
This is a Contract Amendment (Amendment No. 04) to Contract No. 505ENT-M17-WIRELESSPH-04 between the State of Wisconsin Department of Administration, Division of Enterprise Operations, State Bureau of Procurement, and T-Mobile USA, Inc., located at 12920 SE 38th Street, Bellevue, WA 98006. The amendment was executed by Cheryl Edgington, Director of the State Bureau of Procurement for Wisconsin, and David Bezzant, Vice President of T-Mobile for Government, with signatures dated June 24, 2021, and June 15, 2021, respectively.
The contract covers IT-Wireless Telephony and Broadband Plans, Equipment, and Support services. This amendment extends the contract term for one additional year, from July 1, 2021, through June 30, 2022. The document does not specify pricing terms, contract values, or set-aside provisions, focusing solely on the time extension. All other terms, conditions, rights, and obligations of the original contract remain unchanged, with the amendment provisions controlling in case of any conflicts with the original contract terms.
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Text version
WISCONSIN DEPARTMENT OF ADMINISTRATION
DIVISION OF ENTERPRISE OPERATIONS
DOA-3051 (R 04/2019)
S. 51.01(5) WIS. STATS.; AND
S. 111.32(13M) WIS. STATS
STATE BUREAU OF PROCUREMENT
101 EAST WILSON STREET, 6TH FLOOR
POST OFFICE BOX 7867
MADISON, WI 53707-7867
FAX (608) 267-0600
TTY (608) 267-9629
HTTP://VENDORNET.STATE.WI.US
Contract Amendment
Contract No.: 505ENT-M17-WIRELESSPH-04 Amendment No.: 04
Contract Title: IT-Wireless Telephony and Broadband Plans, Equipment, and Support
This Amendment is entered into by and between the State of Wisconsin, Department of Administration, and the Contractor, whose name, address and principal officer appears below.
Contractor Name T-Mobile USA
Contractor Address 12920 SE 38th Street
City: Bellevue State: WA Zip: 98006
Principal Officer:
The parties wish to change the terms of the above-referenced Contract in the following manner:
Extend the contract for the duration of one (1) year from July 1, 2021 through June 30, 2022.
Except as expressly changed by this Amendment, the terms, conditions, rights and obligations of Contract No.:
505ENT-M17-WIRELESSPH-04 shall remain in effect unchanged. In the event of any inconsistency or conflict in the Contract and this Amendment, the provision of this Amendment shall control.
To Be Completed by Contractor
For State of Wisconsin Department of Administration Cheryl Edgington Director, State Bureau of Procurement
For
Company Name
Address
City State Zip
Signature By
Printed Name
Date
Signature
Title
Date
This document can be made available in alternate formats to individuals with disabilities upon request.
DocuSign Envelope ID: E39A8D43-BC06-4E23-B653-E85FF4D8FA35
T-Mobile USA, Inc. Legal DepartmentLegal Approved By: Theodorick F. Dino
6/15/2021 | 2:10 PM PDT
Bellevue 98006
David Bezzant
T-Mobile USA
Vice President, T-Mobile for Government
12920 SE 38th Street
WA
DocuSign Envelope ID: C486F876-E857-4873-BDB2-8516FA81B131
6/24/2021 | 5:14 PM CDT
| 2021-06-24T15:14:47-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .