AMENDMENT TO
________________________________
BETWEEN
_________(INSTITUTION)________
AND
________(CONTRACTOR)________
This amendment, made this __________ day of _______________, 20____, by and between
_________(INSTITUTION)_________ and ________(CONTRACTOR)________.
WITNESSTH
WHEREAS, the parties desire to modify the terms and conditions and to add or delete
certain other terms and conditions to their original agreement dated ______________________,
20____, the parties hereby agree as set forth below.
A. The following provisions are deleted.
1.____________________________________________________________
2.____________________________________________________________
3.____________________________________________________________
4.____________________________________________________________
B. Section __________ is modified to read as follows:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
C. The following provisions are added:
1. ____________________________________________________________
2. ____________________________________________________________
3. ____________________________________________________________
4. ____________________________________________________________
Subject to the modifications set forth in this amendment, the above referenced original
agreement dated ____________________, 20_____, between the parties is hereby ratified and
confirmed.
IN WITNESS WHEREOF, the parties, through their authorized representatives, have
affixed the signatures below.
(Same signatures as original agreement)
CONTRACTOR
__________________________
Name
____________________
Date
__________________
Title
____________________
Date
__________________
Title
INSTITUTION
__________________________
Name
APPROVED: *
TENNESSEE BOARD OF REGENTS
__________________________
Name
*When required
_____________________
Date
__________________
Title