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HomeMy WebLinkAboutCHANGE ORDER - PURCHASE ORDER - 9151563CHANGE ORDER NO. PROJECT TITLE: { ti ,',,, «ec.��'�-- ins S ec S M�' Cr o,,, � Wt( Oorme� wrge� CONTRACTOR: �©1�v\50Y� �v�V�!'O''tY"`pi�l �� (of �O�Ltiorl PROJECT NUMBER: DESCRIPTION: I A 1 1 1. Reason for change: F (-O� L� s G `6 Cry' {{ 1 � a►n, U (i 2. Description of Change: le�eli�rltlEfd fours 1 3. Change in Contract Cost 1 �J (,RtA � L (��b0 0 4. Change in Contract Time: &l % a/ (95 ORIGINAL CONTRACT COST $ an ,c) TOTAL APPROVED CHANGE ORDER TOTAL PENDING CHANGE ORDER TOTAL THIS CHANGE ORDER ' 3, D()_Q TOTAL % OF THIS CHANGE ORDER TOTAL C.O.% OF ORIGNINAL CONTRACT ADJUSTED CONTRACT T $ a i a� (Assuming all cl tge�orc�pprovedd ACCEPTED B -'' DATE: Contractor's Representative ACCEPTED BY: DATE: Project Manager REVIEWED BY: DATE: Title: APPROVED BY: DATE: Title: APPROVED BY: DATE: Purchasing Agent over $60,000 Contractor Project File Architect Engineer Purchasing