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�yM1` Till ° <br />DEPARTMENT OF PUBLIC WORKS <br />�ww,a <br />` DIVISION OF ENGINEERING <br />Project Number: <br />117-050 R Project Name: Urky Gardens Learning Center Site ln,,provern nrs Change Order #: 1 <br />DATE INITIATED: 5-11-19 .. MBPW DATE: 8-13-19 <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />Increased paving quantity. Design road thickness assumed to be 6.5", but upon excavation it was <br />determined to be 12". Plan sheet shows to at least match existing. <br />Attachments: (List documents support change - required) <br />HMA Surface overrun of 2.67 tons (+$734.25) <br />HMA Base overrun of 16.58 tons (+$3,647.60) <br />Amount of 8 Increase / ❑ Decrease: $ 4, 381.85 <br />Categories (Pick One): <br />Previously approved Change Order(s): $ 0'00 __ ❑ Scope of Work <br />-- ..-• ® Differing Site Conditions, Changed Conditions <br />Current Percent of Change: 6.34 <br />❑ Conflicted Specifications and Drawings <br />73 541.85 El Failed Materials <br />New Total Amount: $ ' <br />El Error <br />El Omission <br />Total Percent of Change: 6.34 <br />❑ Final Quantity Adjustment <br />Funding Secured From: - -- , at <br />(filled out by PM) <br />RECOMMENDED BY: <br />Dan Jones <br />Project Inspector (Print Name) (Signature) (Date) <br />REVIEWED BY: <br />Toy VillaVL <br />E • S , t9 <br />Construction Manager (Print Name) (Signature) (Date) <br />APPROVED BY: <br />Charlotte Brach <br />Engineering Project Manager (Print Name) (Signature) (Date) <br />APPROVED BY: <br />Kara Boyles <br />City Engineer (Print Name) (Signature) (Date) <br />