MN/DOT TP-02134-04(2/99)

STATE OF MINNESOTA DEPARTMENT OF TRANSPORTATIONSupp. To Contract No.

SUPPLEMENTAL AGREEMENT NO.

Page 1 of 2

CONTRACTOR; /

FEDERAL PROJECT NO.

/ STATE PROJECT NO.
ADDRESS: / LOCATION OF WORK
GROUP NO. / APPR. / AMOUNT / GROUP NO. / APPR. / AMOUNT / GROUP NO. / APPR. / AMOUNT
DATE ENCUMBERED
BY:
Individual signing certifies that funds have been encumbered as required by Minn. Stat. § 16A.15 / ORIGNINAL ENCMUBRANCE:
$ ENCUMBERED TO DATE: / SA TOTAL $

This Contract is between the State of Minnesota, acting through its Commissioner of Transportation, and Contractor as follows:

WHEREAS: This contract provides for ___ (fill in the general description of the project. This can be found on the front of the Proposal); and

WHEREAS: Emerald Ash borer has been detected in Minnesota and the Minnesota Department of Transportation is requiring that contractors responsible for clearing and grubbing operations, as well as, pruning on construction projects have in place an Emerald Ash Borer Compliance Agreement with the Minnesota Department of Agriculture: and

WHEREAS: The Emerald Ash Borer Compliance Agreement shall be required for handling wood residue from pruning, as well as, clearing & grubbing operations both inside and outside of the Emerald Ash Borer quarantined counties of Hennepin, Ramsey & Houston; and

WHEREAS: The Engineer has determined that an Emerald Ash Borer Compliance Agreement is necessary for this project.

NOW, THEREFORE, IT IS HEREBY MUTUALLY AGREED AND UNDERSTOOD THAT:

  1. It is the Contractor's responsibility to contact the Minnesota Department of Agriculture at (651) 201-6684 or 1-888-545-6684 to meet with them and complete the requirements necessary for them to receive an Emerald Ash Borer Compliance Agreement.
  1. The Contractor shall provide the Engineer a copy of the Emerald Ash Borer Compliance Agreement prior to working on trees within the projects construction limits.
  1. There will be no adjustment to the contract cost as a result of obtaining this Compliance Agreement.
  1. Contract time will not be changed as a result of obtaining this Compliance Agreement.
  1. The Contractor will not make claim of any kind or character whatsoever for any other costs or expenses that he may have incurred or that may be hereafter incurred in performing the work and furnishing the materials required by this Agreement.

ESTIMATE OF COST

Item No. / Item / Unit / Unit Price / Quantity / Amount / Group
NONE
Project Engineer
Dated:______
By:______
Contractor
Dated:______
Assistant District Engineer
Dated: / Commissioner of Transportation:
By:______
Pursuant to Delegation
Dated: / Commissioner of Administration
By:______
Commissioner of Administration or Pursuant to Delegation
Dated:______