Accelerated_2023_Renewal-DOA.doc.pdf
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- Contract number
- 505505-W22-SPB0005-00
- Issued by
- Wisconsin
About this file
This is a contract amendment document between the State of Wisconsin Department of Administration and Accelerated Clinical Laboratories LLC. The amendment is identified as Amendment No. 1 to Contract No. #505505-W22-SPB0005-04, processed through the Wisconsin State Bureau of Procurement. The contractor is located at 10101 W. Innovation Drive, Suite 600, Wauwatosa, Wisconsin, with David Metzger serving as the principal officer and managing member.
The contract covers COVID-19 Testing and Analysis services. The amendment primarily changes the contractor name to Accelerated Clinical Laboratories LLC and extends the contract term. The initial contract period concludes on August 29, 2022, with an initial renewal period running from August 30, 2022 through August 29, 2023. The contract becomes effective upon signature or through an executed Purchase Order, with mutual written agreement between the parties. The amendment was signed by both parties in August 2022, with the state represented by Cheryl Edgington, Director of the State Bureau of Procurement. No specific pricing information or contract amounts are disclosed in this amendment document.
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Text version
DocuSign Envelope ID: 0F9AC423-8753-46E8-83D0-620895FA9C98
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.: #505505-W22- SPB0005-04 Amendment No.: 1
Contract Title: COVID-19 Testing and Analysis
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 Accelerated Clinical Laboratories LLC
Contractor Address 10101 W. Innovation Drive, Suite 600
City: Wauwatosa State: WI Zip: 53226
Principal Officer: David Metzger
The parties wish to change the terms of the above-referenced Contract in the following manner:
Change the Contractor Name to:
Accelerated Clinical Laboratories LLC
Section 4 of the Contract is deleted and replaced in its entirety with the following:
4. TERM. The initial term of this Contract shall commence on the effective date of signature, or later pursuant to an executed Purchase Order (PO) or if mutually agreed between the Parties in writing, and the initial term will conclude on
8/29/2022. The Contract is renewed for an initial renewal from 8/30/22 and the initial renewal period will conclude on 8/29/2023.
Except as expressly changed by this Amendment, the terms, conditions, rights and obligations of Contract No.:
#505505-W22- SPB0005-04 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 For Accelerated clinical laboratories llc Department of Administration
Cheryl Edgington Director, State Bureau of Procurement
Company Name
10101 west innovation drive
Address
Wauwatosa Wi 53226
Signature By
Date
City State Zip
Dave Metzger
Printed Name
Managing member
Title
8/23/2022 | 5:05 PM CDT
Date
Signature
DocuSign Envelope ID: 1571A2D3-D86A-42B2-8945-5057807F2513
8/29/2022 | 8:41 AM CDT
http://vendornet.state.wi.us/
DocuSign Envelope ID: 0F9AC423-8753-46E8-83D0-620895FA9C98
This document can be made available in alternate formats to individuals with disabilities upon request.
DocuSign Envelope ID: 1571A2D3-D86A-42B2-8945-5057807F2513
| 2022-08-29T10:33:57-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .