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DEPARTMENT OF PUBLIC WORKS <br />*" DIVISION OF ENGINEERING <br />MPYY,i'N•. <br />Project Number: 118-036E Project Name: Century Center Storage Mezzanine Change Order #: 1 <br />DATE INITIATED: 5/2/2019 BPW DATE: <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />Construction change: Cost of labor to move 11 additional lights. <br />Attachments: (List documents support change — required) <br />1. Cost provided by contractor <br />Amount of Iiiii Increase / ❑ Decrease: $ 243.52 <br />Categories (Pick One): <br />Previously approved Change Order(s): $ 0 .......................... ❑ Scope of Work <br />-- ❑ Differing Site Conditions, Changed Conditions <br />Current Percent of Change: 0.23 % ❑ Conflicted Specifications and Drawings <br />�.mm.____............. <br />____ <br />El Failed Materials <br />New Total Amount: $ 104,243.52 <br />❑ Error <br />8 Omission <br />Total Percent of Change: 0.23 ............................................ % ❑ Final Quantity Adjustment <br />Funding Secured From: cv e <br />(filled out by PM) 7 3 O 0 0 p O e(-)0 <br />RECOMMENDED BY: <br />Greg McGowan <br />Project Inspector (Print Name) (Si" turo) (Date) <br />REVIEWED BY: <br />Toy Villa <br />Construction Manager (Print Name) (Signature) (Date) <br />APPROVED BY: <br />Rebecca Plantz d 5 <br />Engineering Project Manager (Print Name) (Signature) (Date) <br />APPROVED BY: <br />Kara Boyles K. , - <br />City Engineer (Print Name) (Signat re) (Date) <br />