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DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />11 8-074A Tree Twenty at Ilia Cascade - Iexed Assemblies 2 <br />Project Number: Project Name: Change Order #: <br />DATE INITIATED: 2-18-20 <br />BPW DATE; 2-25-20 <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />Additional items required to be adjusted to fit within other on -site contractors' scopes. <br />Attachments: (List documents support change - required) <br />See attached price additions. <br />Amount of B Increase / ❑ Decrease: $ 32, 034.00 <br />Categories (Pick One): <br />Previously approved Change Order(s): $ 24, 632.00 <br />8 Scope of Work <br />$ <br />ElDiffering Site Conditions, Changed Conditions <br />Current Percent of Change: ,?' % <br />❑ Conflicted Specifications and Drawings <br />_._.................. <br />New Total Amount: $ 1 ,504,666.00 <br />_._._ El Failed Materials <br />--- <br />❑ Error <br />3.91 <br />El Omission <br />Total Percent of Change: <br />❑ Final Quantity Adjustment <br />Funding Secured From: t OS0 _ 1- LI .Oz- n <br />(filled out by PM) <br />RECOMMENDED BY: <br />Dan Jones <br />Project Inspector (Print Name) <br />(Signature) <br />(Date) <br />REVIEWED BY: <br />Toy Villa <br />Construction Manager (Print Name) <br />(Signature) <br />(Date) <br />APPROVED BY: <br />Zach Hurst <br />tg�Zp <br />Engineering Project Manager (Print Name) <br />(Signature) <br />(Date) <br />APPROVED BY: <br />Kara Boyles <br />41 <br />City Engineer (Print Name) <br />(Signature),, <br />(Da e) <br />