CONR 227 (1/13)
SUPPLEMENTAL AGREEMENT No. ___ IN CONNECTION WITH COST OF
RELOCATING MUNICIPALLY OWNED FACILITIES
MAINTAINED FOR PUBLIC USE
(SUBDIVISION 24, SECTION 10, OF THE HIGHWAY LAW)
This Supplemental Agreement made this ______day of______, 20___, by and between THE PEOPLE OF THE STATE OF NEW YORK (hereinafter referred to as “STATE”), acting by and through the COMMISSIONER OF TRANSPORTATION (hereinafter referred to as “Commissioner”), with the principal office in the Administration and Engineering Building, 50 Wolf Road, in the City and County of Albany, State of New York, and ______,a Municipal Corporation in the County of ______and State of New York (hereinafter referred to as “Municipality”).
WHEREAS, the parties entered into a contract dated______under which, among other things, the COMMISSIONER agreed to reimburse the MUNICIPALITY for the cost of relocation of certain municipally owned facilities maintained for public up to an amount not to exceed $ , except as such sum might be increased by a supplemental agreement, and
WHEREAS, additional work that was not contemplated in the original agreement was necessary, and
WHEREAS, the said sum of $ set forth in the said agreement dated is inadequate for the purposes thereof,
NOW, THEREFORE, in consideration of the mutual benefits moving to each of the parties hereto, it is agreed as follows:
1.The amount of $ set forth in paragraph of the agreement dated and effective ______, is hereby increased to$______.
2.The MUNICIPALITY specifically agrees that this Supplemental Agreement shall be deemed executory only to the extent of the moneys available and that no liability shall be incurred by the STATE beyond the moneys available for the purpose.
3.Except as provided in this Supplemental Agreement, the terms and provisions of the said agreement dated and effective ______, are and shall continue to be in full force and effect.
4. This supplemental agreement amends the test of the agreement as follows: Adds Appendix 2-S (Iran Divestment Act) attached hereto.
IN WITNESS WHEREOF, the parties hereto have executed this agreement on the day and year first above written.
This Agreement shall commence on , 20 , and shall expire year(s) from that date unless a Supplemental Agreement is entered into extending the term of this Agreement.
Agreement Number:
Agency Certification - “In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other copies of this contract.”
THE PEOPLE OF THE STATE OF NEW YORK
By ______
Municipality(L.S.)
By______
APPROVED AS TO FORM
______
Attorney General
APPROVED
______
State Comptroller
STATE OF NEW YORK)
) ss:
COUNTY OF)
On this day of 20 , before me personally came ______
to me known, who being by me duly sworn did depose and say that he/she resides in ______,New York; that he/she is the ______of ______,the municipal corporation described in and which executed the above instrument; that he/she knows the seal of said municipal corporation, that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the ______of said municipal corporation pursuant to a resolution which was duly adopted on and to which a certified copy is attached and made a part hereof; and that he/she signed his/her name hereto by like order.
______
Notary Public
APPENDIX 2-S
IRAN DIVESTMENT ACT
As a result of the Iran Divestment Act of 2012 (Act), Chapter 1 of the 2012 Laws of New York, a new provision has been added to the State Finance Law (SFL), § 165-a, effective April 12, 2012. Under the Act, the Commissioner of the Office of General Services (OGS) will be developing a list (prohibited entities list) of “persons” who are engaged in “investment activities in Iran” (both are defined terms in the law). Pursuant to SFL § 165-a(3)(b), the initial list is expected to be issued no later than 120 days after the Act’s effective date, at which time it will be posted on the OGS website.
By entering into a renewal or extension of this Contract, Contractor (or any assignee) certifies that once the prohibited entities list is posted on the OGS website, it will not utilize on such Contract any subcontractor that is identified on the prohibited entities list.
Additionally, Contractor understands that during the term of the Contract, should NYSDOT receive information that a person is in violation of the above-referenced certification NYSDOT will offer the person an opportunity to respond. If the person fails to demonstrate that it has ceased its engagement in the investment which is in violation of the Act within 90 days after the determination of such violation, then NYSDOT shall take such action as may be appropriate including, but not limited to, imposing sanctions, seeking compliance, recovering damages, or declaring the Contractor in default.
NYSDOT reserves the right to reject any renewal, extension or request for assignment for an entity that appears on the prohibited entities list hereafter and to pursue a responsibility review with respect to any entity that is granted a contract extension/renewal or assignment and appears on the prohibited entities list thereafter.
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