Addendum 3 Signature Sheet.pdf

This is an Addendum 3 Signature Sheet related to the Vehicle Equipment Adaptation Prescription Agreement (VEAPA) for a Division of Rehabilitation Services (DORS) client in Maryland under contract number R00B6600195. The addendum serves as a signature authorization document for parties involved in the vehicle adaptation services contract, which involves furnishing and installing adaptive equipment for a DORS client with functional limitations due to disabilities. The signature sheet establishes acknowledgment and authorization requirements for contract modifications or updates introduced through Addendum 3.

The signature sheet requires execution by authorized representatives of the relevant parties to the contract, formally documenting agreement to the terms and conditions outlined in Addendum 3. This document is a critical component of the contract administration process, ensuring that all parties have reviewed and accepted any modifications, clarifications, or updates to the original contract terms prior to proceeding with vehicle equipment adaptation services for the designated DORS client.