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Change Order No 4 - 2016 Manhole & Sewer Lining Proj No 116-026 - Insituform Technologies USA LLC
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Change Order No 4 - 2016 Manhole & Sewer Lining Proj No 116-026 - Insituform Technologies USA LLC
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3/31/2025 2:34:41 PM
Creation date
12/22/2017 11:39:14 AM
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Board of Public Works
Document Type
Projects
Document Date
12/21/2017
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we] kWK*1 96*01119 MW I M :11 02A I I Ig rn of., <br />DATE: <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CHANGE ORDER NO: <br />SUBJECT OF CHANGE ORDER: <br />12/4/2017 <br />116-026 <br />2016 Manhole & Sewer Lining, <br />12/22/2016 <br />PCR #4-Additional excavation depth on a pre -bid hurried manhole. _ <br />The original contract sum <br />Net change by previously authorized change orders <br />The contract sum prior to this change order <br />By this Change Order, the project amount is <br />The new contract sum inclluding this change order <br />This Change Order represents a total change of <br />Total change for entire project <br />Original contracted completion date/time <br />Extension of dateltime by previous change orders <br />Date/time extension by this change order <br />New completion date/time <br />CONTRACTOR <br />C ntrgcto'r Signature <br />c jvf�( A V� C-L 9e <br />Printed Name and Title <br />Insituform Technologies USA, LLC <br />Company Name <br />1798,8 Edison Avenue <br />Address <br />Chesterfield, MO 63005 <br />City, State, Zip <br />$ <br />2,957,900.80 <br />$ <br />38,435.25 <br />$ <br />2,9196,336,05 <br />Increased <br />Decreased $ <br />3,398.85 <br />$ <br />2,999,734.90 <br />0.11 % <br />1.41 % <br />1/1/2017 <br />910 days <br />0 days <br />9/29/2017 <br />CONSTRUCTION MANAGER <br />WFUESTWIG-luffm�. ■� <br />BOARD OF PUBLIC70RKS <br />Approved Date: <br />)i a6A�t A--, <br />Gary A. Gilot, President <br />Suzanna M. Fritzberg, Member <br />Elizabeth A Maradik, Member <br />Theres'e' J. 15-&au,-Meit4ffer <br />Jam A. Mueller, Member <br />
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