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rwz. a aye Al*. <br />v <br />. DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />Project Number: 1 19-042 Project Name: Lafayette Building Drain Replacements Change Order #: � <br />...m....... .... <br />DATE INITIATED: 7-2-19mmm,�m.��� <br />BPW DATE, 8-13-19 <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />The sub floor drains were deteriorated to the extent that the top third of the metal pipe was gone. <br />There was no way to tie in the roof drains without having a good piece of piping to attach to. The <br />concrete floor needed to be cut and removed to chase the existing deteriorated piping to the east <br />end of the building in order to find a good section of pipe to tie into. The trench was then backfilled <br />with sand for possible future work. <br />Attachments: (List documents support change — required) <br />115 LFT of pipe replacement @ $151.94 = $17,473.10 (concrete removal and pipe work) <br />Backfill trench with sand LS @ $3,272.50 (102x 601b bags; 2 labors x 16 hrs) <br />Amount of A Increase / ❑ Decrease: $ 20, 745.6 <br />Previously approved Change Order(s): $ 0.00 <br />Current Percent of Change: 55.88 <br />New Total Amount: $ 57, 872.6 <br />Total Percent of Change...55.88_.......................................................... % <br />Funding Secured FromZN ,►t�50. N(c0.�1'j (� <br />(filled out by PM) <br />RECOMMENDED BY: <br />Dan Jones <br />Project Inspector (Print Name) <br />REVIEWED BY: <br />Toy Villa <br />Constriction Manager (Print Name) <br />APPROVED BY: <br />Kyle Silveus <br />Engineering Project Manager (Print Name) <br />APPROVED BY: <br />Categories (Pick One): <br />Scope of Work <br />iml Differing Site Conditions, Changed Conditions <br />- Conflicted Specifications and Drawings <br />Failed Materials <br />Error <br />Omission <br />= Final Quantity Adjustment <br />._�.._ (Signature) .(Date)...—.......__._._. <br />k <br />�..._w _ _ . ,_�.._.��1-1 22-l` <br />( Signature) (Date) <br />(Signatu&I (Date) <br />) <br />Kara Boyles <br />�..r.. �w.� _ ... m.....��-... ..__ ..... <br />City Engineer (Print Name) (Signature (Date) <br />