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'E DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />Project Number: 118-021 A Project Name: Cleveland Well Field Refurbishments Change Order #: DATE INITIATED: INITIATED: 5/3/19 BPW DATE: <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />Upgrade Two (2) HMI's from C-More EA9 to A-B PVPlus 7 Performance - 10" Wide. (1 EA <br />$1,947.00) <br />Attachments: (List documents support change — required) <br />Contractors Allen-Bradley HMI Upgrade Proposal. <br />. <br />............ <br />___ <br />Amount of ® Increase / ❑ Decrease: $ 3894.00 <br />Categories (Pick One): <br />Previously approved Change Order(s): $, 0 _ ® Scope of Work <br />Current Percent of Change: 2'85 % El Differing Site Conditions, Changed Conditions <br />_•_•_••• ❑ Conflicted Specifications and Drawings <br />rr..._ .. �__� _.m,......... <br />❑ Failed Materials <br />New Total Amount: $ 140...744' 00 <br />❑ Error <br />_.... _ - El Omission <br />Total Percent of Change: 2.85 — <br />❑ Final Quantity Adjustment <br />Rive... TIF _...... ___ <br />° <br />Funding Secured From: rwest �.. <br />RECOMMENDED BY: <br />d Josh Ehmer 'I P � "�°°°° <br />M u n l+�4W�ry 4 g3aLLL YA �ylp �xtt 5/7/19 <br />Project Inspector (Print Name) (Signature) (Date) <br />REVIEWED BY: <br />Construction Manager (Print Namq) (Signature) (Date) <br />APPROVED BY: <br />Engineering Project Manager (Print Name) (Signature) (Dace) <br />APPROVED BY: <br />City Engineer (Print Name) (Date) <br />