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rf DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />rrpw9 <br />Project Number: 118-047 Project Name: Fire Station Nos. 3 and 6 Renovations Change Order #: 1 <br />DATE INITIATED: 11-18-19 BPW DATE. 11-26-19 <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />Various value engineering deducts in order to meet budget requirements. <br />Attachments: (List documents support change — required) <br />Various deducts <br />Amount of ❑ Increase / 8 Decrease: $193, 500.00 <br />Categories (Pick One): <br />Previously approved Change Order(s): $, 0.00 B Scope of Work <br />El Differing Site Conditions, Changed Conditions <br />Current Percent of Change: -� 7.28 <br />❑ Conflicted Specifications and Drawings <br />.................... <br />El Failed Materials <br />New Total Amount: $ 926, 500.00 <br />❑ Error <br />-17 28 El Omission <br />Total Percent of Change: % ❑ Final Quantity Adjustment <br />Funding Secured From: <br />(filled out by PM) <br />RECOMMENDED BY: <br />Dan Jones -� <br />Project Inspector (Print Name) (Signature) (Date) <br />REVIEWED BY: <br />Toy Villa. I. 19 • tq <br />Construction Manager (Print Name) (Signature) (Date) <br />APPROVED BY: <br />Alicia Czarnecki 41 <br />Engineering Project Manager (Print Name) (Signature) (Date) <br />APPROVED BY: <br />Kara Boyles <br />City Engineer (Print Name) (Signature) (Date) <br />