Laserfiche WebLink
Docusign Envelope ID: B2E3CB28-321B-4F61-906C-2DA51CA6131C <br />Contract Number: 25-HTD-ZL-00189 / 491003894 <br />EXHIBIT B, SAMPLE OPTION LETTER <br />State Agency Option Letter Number <br />Department of Transportation Insert the Option Number (e.g. "1" for the first <br />option) <br />Subrecipient Original Agreement Number <br />Insert Subrecipient's Full Legal Name, including "Inc.", Insert CMS number or Other Contract Number of <br />"LLC", etc... the Original Contract <br />Subaward Agreement Amount <br />Federal Funds <br />Agreement Total <br />Option Agreement Number <br />Insert CMS number or Other Contract Number of <br />$0.00 this Option <br />Agreement Performance Beginning Date <br />The later of the Effective Date or Month, Day, <br />Year <br />$0.00 Current Agreement Expiration Date <br />Month, Day, Year <br />1. OPTIONS: <br />A. Option to extend for an Extension Term or End of Term Extension. <br />2. REQUIRED PROVISIONS: <br />A. For use with Option 1(A): In accordance with Section(s) 2.B/2.0 of the Original Agreement referenced <br />above, the State hereby exercises its option for an additional term/end of term extension, beginning Insert <br />start date and ending on the current agreement expiration date shown above, at the rates stated in the <br />Original Agreement, as amended. <br />3. OPTION EFFECTIVE DATE: <br />A. The effective date of this Option Letter is upon approval of the State Controller or , whichever is <br />later. <br />By: <br />Name: <br />Title: <br />STATE OF COLORADO <br />Jared S. Polis, Governor <br />Department of Transportation <br />Shoshana M. Lew, Executive Director <br />Date: <br />In accordance with §24-30-202, C.R.S., this Option <br />Letter is not valid until signed and dated below by <br />the State Controller or an authorized delegate. <br />STATE CONTROLLER <br />Robert Jaros, CPA, MBA, JD <br />By: <br />Department of Transportation <br />Option Letter Effective Date: <br />Page 20 of 33 <br />