09-093.00 Inland Asphalt: Pines Mansfield Congestion Relief
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WAV~ she~SYate~~ortateon Change Order
Date 5/12/2009
Page 1 of 3 Pages
Contract Number 08-016 Federal Aid Number CM-9932 (032)
Contract Title Pines-Manfield Corridor Congestion Relief Project
Change Order Number 23
Prime Contractor Inland Asphalt
~Q Ordered by Engineer under the terms of Section 1-04.4 of the Standard Specifications
❑ Change proposed by Contractor
Endorsed By i %
Surety Consent L
ConVactor 4.-#, Attomey on Fact
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Date Date
Original Contract Amount 3,0613,916.95
Current Contract Amount 312131,144.00
Estimated Net Change This Order 143,253.12
Estimated Contract Total After Change 3,227,397.12
Approval Required ❑ Region ❑ Olympia Service Center Z Local Agency
If the amount authorized in the Local Agency Agreement is exceeded and federal funds are not available for this
change, the Local Agency will assume the total cost of this Change Order.
~ Approval Recommended U Approved Approved 4~e ~ ~
Project ngineer Approv[ng Authority per C.A. Agree nt
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D
ate F-] Approval Recommended F-] Approved Other Approval When Required
By Sfgnature Date
Date Represent(ng
DOT Form 140-005 EF
Rev(sed 10/97
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CHANGE ORDER
Page 2 of 3
Contract No: 08-016 Change Order No. 23
This Contract is revised as follows:
Description of Work
The Contractor shall provide additional "Other Temporary Traffic Control" and "Traffic
Control Supervisor" that is necessary to complete the project.
Measurement
Other Temporary Traffic Control -Added Days, and Traffic Control Supervisor -
Added Days, will be measured per day for each additional working day in excess of
the original 70 working days.
Payment
Payment shall be made for each of the following items
New contract items:
"Other Temporary Traffic Control - Added Days", per day
"Traffic Control Supervisor - Added Days", per day
Contract Time
Contract time will not be adjusted as a result of this Change Order
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CHANGE ORDER
Page 3 of 3
Contract No: 08-016 Change Order No.16
Item No. Group No. Item Description Unit Unit Price Est. Qty. Est. Amt. Change
Measure Change
NEW 1 Other Temporary Traffic Control - Added Days DAY $240.80 6 $ 1,444.80
NEW 5 Other Temporary Traffic Control - Added Days DAY $240.80 12 $ 2,889.60
NEW 1 Traffic Control Supervisor - Added Days DAY $551.04 6 $ 3,30624
NEW 5 Traffic Control Supervisor - Added Days DAY $551.04 12 $ 6,612.48
TOTAL $149253.12