Summit_2023_Renewal.doc.pdf
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- Contract number
- 505505-W22-SPB0005-00
- Issued by
- Wisconsin
About this file
This document is Amendment No. 1 to Contract #505505-W22-SPB0005-07 between the State of Wisconsin Department of Administration and Summit Clinical Laboratories, LLC of Brookfield, Wisconsin. The amendment was executed on August 25, 2022, and signed by Cheryl Edgington, Director of the State Bureau of Procurement for Wisconsin, and Bryan O'Boyle, CEO of Summit Clinical Laboratories.
The contract covers COVID-19 testing and analysis services. The amendment specifically modifies the contract term, extending the initial contract period to conclude on August 29, 2022, and adding an initial renewal period that runs from August 30, 2022, through August 29, 2023. The contract becomes effective upon signature or later pursuant to an executed Purchase Order, with all other original contract terms and conditions remaining unchanged except for the modified term provisions outlined in this amendment.
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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.: #505505-W22- SPB0005-07 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 Summit Clinical Laboratories, LLC_
Contractor Address 21755 Gateway Rd
City: Brookfield State: WI Zip: 53045
Principal Officer: Bryan O'Boyle
The parties wish to change the terms of the above-referenced Contract in the following manner:
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- SPB0005-07 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: 1C595411-E5B0-4816-A095-6AD7C3891F50
21755 Gateway Rd
WI
CEO
53045
8/25/2022 | 4:48 PM CDT
Summit Clinical Laboratories LLC
Brookfield
Bryan O'Boyle
DocuSign Envelope ID: 1571A2D3-D86A-42B2-8945-5057807F2513
| 2022-08-29T10:33:58-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .