CONTRACT EXTENSION AGREEMENT ================================================================ Effective Date: ________________________________________________________ Place: _________________________________________________________________ ================================================================ 1. Parties to the Agreement --------------------------- This Agreement is entered into on ____________________ (____________________) by and between: Client Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ Contractor Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ 2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS ------------------------------------------- Contract Being Extended (title and date): ____________________________________________________________________ Current End Date: ______________________________________________________ New End Date: __________________________________________________________ Fees or Rates for the Extended Term: ____________________________________________________________________ Other Changes for the Extended Term: ____________________________________________________________________ 3. EXECUTION & SIGNATURES ------------------------- Client Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________ Contractor Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________