Consultant Agreement Modification
Modification #: Mod 3
Date Issued: 06/13/2022
Consultant: Victor Seduledi
Project #: 1297.0550
Purchase Order #:
Legacy GFAS ID/FCO#:
Technical Monitor: Virginia Letsatsi-Modise
Purpose: To revise the period of performance end date from 14 June -30 September 2022
Period of Performance:
New Total Amount of Consultant Agreement:
Begin: June 14,2022
End: September 30,2022 BWP: 81,545.58
(Total Section A + Section B + Section C
Consultant Agreement modified as follows:
Period of Performance: Revised the PoP end date from 14th June – 30th September 2022
New Total Amount of Consultant Agreement: BWP 69,000.00
Modification to Section A – Consultant Fee
New Number of Days or Hours Ordered: 69 days
New Cumulative Total Days or Hours Ordered: 69days
New Consultant Rate US$: BWP1,181.82(not changed)
Modification to Section B – Activity Costs & Non-Travel Expenses
New Total Activity Costs & Non-Travel Expenses:
Revised Scope of Work/Deliverables: SOW remains the same
Modification to Section C – Travel Expenses
New Total Estimated Travel Expenses:
Revised Scope of Work/Deliverables: SOW remains the same
Modification to Section D – Scope of Work & Deliverables
Revised Scope of Work/Deliverables: SOW remains the same
By their signatures, the undersigned Parties hereby agree to this modification to the Consultant Agreement. All other terms
and conditions remain the same.
For FHI 360
Dr. Wame Dikobe
Date
your signing
location here
EPIC Project Director, Botswana
2022.06.13 17:
45:06+02'00'
Signature
Consultant
Signature
Date
Print Name
Contact Information
Note: FHI 360 Contract Management Services (CMS) will sign Consultant Agreement Modifications on behalf of FHI 360. When
Consultant Agreements and Modifications thereto are fully executed a file copy is to be provided to CMS.
CMS rev. 2014-12