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�4NU NIA i7,�;fl. <br />" DEPARTMENT OF PUBLIC WORKS <br />- DIVISION OF ENGINEERING <br />Project Number: 119-084 Project Name: 510 S. Main Street Building Improvement Change Order #: 2 <br />DATE INITIATED: 10-25-19 BPW DATE: 11-5-19 <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />Various unforeseen and aesthetic items added to improve the functionality and safety of the winter <br />amnesty building. <br />Attachments: (List documents support change — required) <br />See attached price breakdown <br />Amount of BIncrease / [--]Decrease: $ 6,458.50 <br />Categories (Pick One): <br />Previously approved Change Order(s): $ 5219.46 lig Scope of Work <br />- Current Percent of Change: 4.17 8 Differing Site Conditions, Changed Conditions <br />❑ Conflicted Specifications and Drawings <br />New Total Amount: �. � ..._..............—... <br />161,162.96 ❑ Failed Materials <br />$ ❑ Error <br />❑ Omission <br />Total Percent of Change: 7.81 % <br />❑ Final Quantity Adjustment <br />' Funding Secured From 30 . 14077. <br />0 <br />(filled out by PM) <br />RECOMMENDED BY: <br />Dan Jones _. �... <br />Project Inspector (Print Name) (Signature) (Date) <br />REVIEWED BY: <br />Toy Villa ° ' <br />Construction Manager (Print Name) (Signature) (Date) <br />APPROVED BY: <br />Alicia Czarnecki <br />Engineering Project Manager (Print Name) (Signature) (Date) <br />APPROVED BY: i <br />Kara Boyles in <br />City Engineer (Print Name) (Signa rya) (Da ) <br />