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�DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />A yR <br />Project Number: 1 19-079 Project Name,. 2019 Demolitions, Phase 2 DivA Change Order #: 1 <br />DATE INITIATED: 2/13/2020 BPW DATE: <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />Extend Contract Time Due to Delayed Notice to Proceed & Abatement. And Final Quantity <br />Adjustment. <br />Attachments: (List documents support change — required) <br />Orig. Completion Date - 1 /13/2020 <br />NTP issued - 12/13/2020 <br />Amount of ❑ Increase / B Decrease: $ 19, 065.00 <br />Categories (Pick One): <br />Previously approved Change Order(s): $ 0 ❑ Scope of Work <br />El Differing Site Conditions, Changed Conditions <br />Current Percent of Change: -15.15 <br />--- El Conflicted Specifications and Drawings <br />._.........__...._................................_ El Failed Materials <br />New Total Amount: $ 106,760.00 <br />❑ Error <br />.15 I] Omission <br />-15 <br />Total Percent of Change: % ❑ Final Quantity Adjustment <br />❑o <br />Funding Secured From: <br />(filled out by PM) <br />RECOMMENDED BY: <br />Josh Ehmer""° �� 2/13/2020 <br />Project Inspector (Print Name) (Signatur) (Date) <br />a� <br />REVIEWED BY: N � <br />Construction Ilan tint Name) (Signature) (Date) <br />APPROVED BY: <br />Z 2v <br />Engineeri g Project Manager (Print Name) (Signatur (Date) <br />APPROVED BY: "^ <br />CityEngineer 9� ineer ( Print Name) (Signature) "" .--"°°,W (Da e) <br />