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12-210.00 Bacon Concrete: 2012 Concrete Maintenance Spokane 4.00.01;Valley CHANGE ORDER TO CONSTRUCTION CONTRACT NO: 1 DEPARTMENT OF PUBLIC WORKS PROJECT:2012 Concrete Maintenance CONTRACT DATE: 10-Oct-12 CONTRACTOR: Bacon Concrete Inc. CHANGE ORDER NO: 1 PROJECT NO: 12-037 DESCRIPTION OF CHANGES Additional concrete needed at Appleway Avenue and Dartmouth due to vehicles running over the end of the ramp on two separate occasions before concrete had cured. Total Amount of this Change Order: $ 329.00 SUBSTANTIAL COMPLETION Original Date: - Prior to this Change Order: - Including this Change Order - THESE CHANGES RESULT IN THE FOLLOWING ADJUSTMENTS OF CONTRACT PRICE: ORIGINAL CONTRACT AMOUNT $ 10,835.00 TOTAL PRIOR CHANGE ORDER AMOUNT $ 0 CONTRACT PRICE PRIOR TO THIS CHANGE ORDER(through CO#) $ 329.00 NET THIS CHANGE ORDER $ 3Zt DD CONTRACT AMOUNT INCLUDING THIS CHANGE ORDER $ IlILA,d0. CONTRACTOR ACCEPTANCE: �i,Q{Qk_ QNm Op/ yJV DATE: Ili 20/i L The contractor hereby accepts this adjustment under the terms of the original contract for all work perfomed. RECOMMENDED BY: 4i "` (/ !/t DATE: r/! /6/2 for (Engineer) APPROVED BY: DATE: 1/ Eri Guth, Public orks Director ATTACHMENTS: Distribution: ORIGINALS TO: Contractor, City of Spokane Valley Clerk's Office, PW Project File COPIES TO: P:PW/Forms/Templates/CO (Nov 06) 0/0 12" LI0