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r triCA Illi -101 <br />G <br />JEFFERSON COUNTY <br />11 <br />Sheet 2 <br />DEPARTMENT OF PUBLIC WORKS <br />Change <br />4 <br />Date: 10/19/2015 <br />CHANGE ORDER <br />Order No. <br />Ordered by County Engineer under terms of <br />FX Section 1 - 04.4 of the Standard Specifications <br />CR17993 <br />Contract No. <br />Change proposed by Contractor <br />To: <br />Bruch & Bruch Construction, Inc. <br />1706 Highway 101 West <br />E by: <br />fort Angeles, WA 98363 <br />Cont c rFirm Name <br />Project Title Dowans Creek Road <br />Title <br />Consent given by Surety. (when required) <br />Realignment <br />By: <br />Aftome -in-fact Date <br />You are ordered to perform the following described work upon receipt of an approved copy of this change order: <br />A new item Crushed Surfacing Top Course was added to provide necessary road surface performance on the steepest <br />grades on the project (14% to 15%). While under AASHTO grade maximums, these grades require special surfacing for <br />long-term performance. Increasing the item Water is a minor quantity adjustment for water used project wide. <br />This change order authorizes the following: <br />Add 600 CY of Crushed Surfacing Top Course (New Item No. 24) at $33.00/CY. <br />Increase Water (Bid Item No. 17) quantity 100 MGAL (1000 Gallons per MGAL) for a total quantity of 126 <br />MGAL. <br />All work materials and measurement to be in accordance with the provisions of the standard specifications and <br />special provisions for the type of construction involved. <br />ORIGINAL <br />CURRENT <br />ESTIMATED <br />ESTIMATED <br />CONTRACT <br />CONTRACT <br />NETCHANGE <br />CONTRACTTOTAL <br />AMOUNT <br />AMOUNT <br />THISORDER <br />AFTERCHANGE <br />$338,466.75 <br />$436,294.75 <br />$23,800.00 <br />$460,094.75 <br />ORIGINAL CONTRACT <br />CURRENTCONTRACT <br />CONTRACT TIME <br />NEW CONTRACT <br />TIME (days) <br />TIME (days) <br />CHANGE (AddiDel) <br />TIME (days) <br />50 <br />56 <br />0 <br />56 <br />APPROVAL RECOMMENgEy, APP AMENDED <br />Project Manager bate CountyEngineer - Date <br />APPRO´┐ŻL E M AENDEpE M AENDED APPROV D <br />/ <br />A /o tL//5 <br />Engineering Services Manager Date Chair, Je 5nGn County Comm inners Date <br />