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„y4bW YWd ,,. <br />DEPARTMENT OF PUBLIC WORKS <br />- DIVISION OF ENGINEERING <br />Project Number: 118-082A Project Name: century Center Lower Restroom Remodel Change Order #: 2 <br />DATE INITIATED:5/20/2019 BPS/ DATE: 5/28/2019 <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />Additional carpet and floor patching needed because of omission in drawings. Additional faucet <br />due to water main rupture damage. Accompanied by a 22 day extension to order materials. <br />Attachments: (List documents support change - required) <br />Additional invoices memo from Brown & Brown. <br />Amount of ®Increase / ❑Decrease: $ 9, 831.34 <br />Categories (Pick One): <br />Previously approved Change Order(s): $ 3,601 '27 ❑ Scope of Work <br />El Differing Site Conditions, Changed Conditions <br />Current Percent of Change 4'2 % ❑ Conflicted Specifications and Drawings <br />..- .............._.-.................... ....................................... <br />❑ Failed Materials <br />New Total Amount $ 2552,070.61 <br />❑ Error <br />® Omission <br />Total Percent of Change: 5' 7 % ❑ Final Quantity Adjustment <br />Funding Secured From:. -?- <br />(filled out by PM) <br />1-t4 J41waCC <br />RECOMMENDED BY:. <br />t <br />UA 1 <br />Project Inspector (Print Name) (Signature) (Date) <br />REVIEWED BY: <br />...... <br />L. L-A . . . ........... .......... �Sa 6 141 <br />Construction Man ger (Print Name) (Sic natare Date <br />APPROVED BY: <br />Engineering Project Manager (Print Name) g ;a urw (Date) <br />APPROVED BY: j <br />City Engineer (Print Name (SrgiiiC ') (Date) <br />