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JEFFERSON COUNTY <br />Sheet 1 of 1 <br />DEPARTMENT OF PUBLIC WORKS <br />Date: 4/5/2016 <br />CHANGE ORDER NO.2 <br />Ordered by County Engineer under terms of <br />QX Section 1 - 04. 4 of the Standard Specifications <br />DChange proposed by Contractor <br />To: Bruch & Bruch Construction, Inc. <br />1706 W. Highway 101 <br />Endorsed by: Bruch & Bruch Construction, Inc. <br />Port Angeles, WA. 98363 <br />cContractor Firm Name <br />Signature <br />Project Title: <br />Title <br />Consent given by Surety: (when required) <br />Contract No. X01990 <br />By: <br />Undie Road, M.P. 1.1 Emergency Repair <br />Attorney-in-fact <br />This Change Order adds an amount for additional vertical and horizontal realignment of Undie Road in response to ongoing <br />landslide activity at Undie Road MP 1.1. <br />This contract is revised as follows: <br />• This Change Order adds $35,000 to the contract amount for additional road repair work completed 3/29/2016 <br />through 4/1/2016. <br />Proj. Manager <br />ORIGINAL <br />CURRENT <br />I Approval required <br />CONTRACT <br />CONTRACT <br />ESTIMATED NET <br />ESTIMATED CONTRACT <br />AMOUNT <br />AMOUNT <br />CHANGE THIS ORDER <br />TOTAL AFTER CHANGE <br />I County Engineer <br />$55,000.00 <br />$109,000.00 <br />$35,000.00 <br />$144,000.00 <br />Approval Required <br />ORIGINAL <br />CURRENT <br />Change in contract time New Contract time <br />CONTRACT TIME <br />CONTRACT TIME <br />this Change Order <br />(Working days) <br />(Working Days) <br />(Working Days) (Working Days) <br />N/A <br />N/A <br />N/A N/A <br />APPROVAL RECOMMENDED <br />ItPROV <br />Project Manager Date <br />County Engineer Date <br />AtPPO L RECOMMENDED <br />APPROVED <br />Engi eri Services Manager Date <br />Chair, Jefferson County Commissioners Date <br />