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Project Number: 116-012 <br />DATE INITIATED: 7-16-19 <br />DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />Project Name: Fire Station #9 <br />BPW DATE: 8-13-19 <br />Change Order #: 6 <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />Various project changes including: <br />Add for Locution components, rough -in, and wiring; Add to relocate PV panel inverter; Add to <br />remove soffits and add fan; Add to relocate skylight curb; Add to install additional electric sub <br />panel; Add to install rigid insulation at App Bay parapet; Deduct for replacement shower pans and <br />signage; Add to install bollard; Deduct to utilize existing flagpole; Add to install additional parking <br />signs and walk -off mats; Add to install sidewall venting and bulkheads; Add to modify kitchen sing. <br />Attachments: (List documents support change — required) <br />Price breakdown per various items. <br />Amount of B Increase / ❑ Decrease: $ 37,153.50 <br />Previously approved Change Order(s): $-7,951.00 <br />Current Percent of Change: 1.02 <br />New Total Amount: $ 3,681,702.50 <br />Total Percent of Change: 0.80 <br />Funding Secured From: <br />(filled out by PM) <br />RECOMMENDED BY: <br />Dan Jones <br />Project Inspector (Print Name) <br />REVIEWED BY: <br />Toy Villa <br />Construction Manager (Print Name) <br />APPROVED BY: <br />Q L t Ci, .A C.Z4 p a 0 c. e 1 <br />Engineering Project Manager (Print Name) <br />APPROVED BY: <br />Kara Boyles <br />City Engineer (Print Name) <br />Categories (Pick One): <br />8 Scope of Work <br />❑ Differing Site Conditions, Changed Conditions <br />❑ Conflicted Specifications and Drawings <br />❑ Failed Materials <br />❑ Error <br />❑ Omission <br />❑ Final Quantity Adjustment <br />o <br />(Signature) (Date) <br />(Signature) (Date) <br />_V, <br />(Signature) (Date) <br />(Date) <br />