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� � a <br />DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />1865 <br />Project Number: 120-045 Project Name: Tutt St. Brick Recovery Change Order #: 1 <br />DATE INITIATED: 8/20/2020 BPW DATE: 9/8/2020 <br />Brief Summary of Change Order-, (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />Added landscaping per request of MetroNet, who is purchasing the parcel upon removal of the <br />bricks. <br />Attachments: (List documents support change — required) <br />Amount DIncrease/ ❑Decrease: 2,894.00 <br />of $ <br />Categories (Pick One): <br />0 Scope of Work <br />Previously approved Change Order(s): $ <br />El Differing Site Conditions, Changed Conditions <br />3'78 <br />Current Percent of Change: % <br />❑ Conflicted Specifications and Drawings <br />El Failed Materials <br />New Total Amount: $ 23,889.00 <br />❑ Error <br />❑ Omission <br />13.78 <br />Total Percent of Change: <br />❑ Final Quantity Adjustment <br />Funding Secured From: 211-10-101-120-431000 <br />(filled out by PM) <br />RECOMMENDED BY: <br />Zachary Hurst PE <br />f <br />Zachary Hurst ol�,G.,,,.yv�,o� �so,,,en.,a�E.,,n_,.�°=o <br />- °eparo201 o Publlo works. enizlkxnurslLsouWbandln.9ov. W5 � <br />ry ° '=aa rs` '" <br />°a�.: zozo.m.m raoo <br />oro1/2020 <br />Project Inspector (Print Name) <br />(Signature) <br />(Date) <br />REVIEWED BY: <br />Construction Manager (Print Name) <br />(Signature) <br />(Date) <br />APPROVED BY: <br />Zachary Hurst, PE <br />Zachary Hurst ,_.,,.'�H�br.'t °�' <br />ry - °eoarm�em m f'nuoworks. aRatimrsresow�ode.ao, ws <br />�oro�/2o20 <br />Engineering Project Manager (Print Name) <br />(Signature) <br />(Date) <br />APPROVED BY: <br />City Engineer (Print Name) <br />(Signature) <br />(Date) <br />