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DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />Project Number: 117-1 OOR Project Name: Lafayette BuMing Exterior Renovation (Div A) Change Order#: 1 <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.), <br />DCl requested the basement and first floor windows be boarded up to prevent break-ins and <br />damage to the interior of the Lafayette Bldg, including the new skylight once installed. Plywood <br />boards will be painted to look similar to the brick. <br />Attachments: (List documents support change - required) <br />N/A <br />. . . . ..................................... .. .. ................. ..... . .......... <br />Amount of B Increase / El Decrease: $ 3,683.00 Categories (Pick One): <br />­­ ........... . ......... <br />Previously approved Change Order(s): $ 0.00 . ............. ii Scope of Work <br />172 D Differing Site Conditions, Changed Conditions <br />. <br />Current Percent of Change: % D Conflicted Specifications and Drawings <br />........... __ ----- . . .......................... - - - ----- <br />New Total Amount: $ 2,.L-1 Failed Materials <br />. ........1758300 ................ - Error <br />. ............ .............. <br />El Omission <br />. .. <br />Total Percent of Change: .1 .72 % . .... .... El Final Quantity Adjustment <br />Funding Secured From: <br />(filled out by PM) <br />RECOMMENDED BY: <br />Dan Jones 7— <br />... LA <br />Project Inspector (Print Name) (Signature) (Date) <br />REVIEWED BY: <br />Toy Villa <br />........ . . ...... . ............. - <br />Construction Manager (Print Name) (Signature) (Date) <br />APPROVED BY: <br />Kyle Silveus '71161 �fj <br />Engineering Project Manager (Print Name) (Date) <br />APPROVED BY: <br />Kara Boyles <br />'#(Dte)) <br />City Engineer (Print Name) (Signature) <br />