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2020-22 PAX Fitness Repair, LLC Amendment 1 - Gym Equipment MaintenanceRevised May 2017 M E M O R A N D U M TO: Chris Escobedo, Community Resources Director FROM: Luis Magallanez, Community Resources Coordinator DATE: June 15, 2020 RE: Amendment No. 1 to Short-Form Services Agreement with PAX, Fitness Repair, LLC Attached for your signature is Amendment No. 1 to the Short-Form Services Agreement with PAX, Fitness Repair, LLC, for a two-year extension for preventative maintenance services for Wellness Center fitness equipment for an additional amount of $6,600 for a total contract sum not to exceed $ 8,800. Please sign the attached agreement(s) and return to the City Clerk for processing and distribution. Requesting department shall check and attach the items below as appropriate: X Contract payments will be charged to account number: 101-3002-60420 X Amount of Agreement, Amendment, Change Order, etc.: $6,600 / Contract Sum NTE $8,800. N/A A Conflict of Interest Form 700 Statement of Economic Interests from Consultant(s) is attached with _____ no reportable interests in LQ or ____ reportable interests N/A A Conflict of Interest Form 700 Statement of Economic Interests is not required because this Consultant does not meet the definition in FPPC regulation 18701(2). Authority to execute this agreement is based upon: N/A Approved by the City Council on ________ X City Manager’s signature authority provided under Resolution No. 2019-021 for budgeted expenditures of $50,000 or less. This expenditure is $6,600 and authorized by City Manager. N/A Initial to certify that 3 written informal bids or proposals were received and considered in selection The following required documents are attached to the agreement: X Insurance certificates as required by the agreement (approved by Risk Manager on _____________ date) N/A Performance bonds as required by the agreement (originals) X City of La Quinta Business License number LIC- 768212; Exp: 9/30/2020 X A requisition for a Purchase Order has been prepared (amounts over $5,000) X A copy of this Cover Memo has been emailed to Finance