09-088.00 Inland Asphalt: Pines Mansfield Congestion Relief
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Wa5h1ngton Stat~
CAW Department of Transportatian Ch,ange Order - MII'1D1' Cr1ange
Con#rac# Number Contract Titfe Federal Aid Number
TA-2942 Pines-Mansfield Corridor Congestion ReliefProjec# CM-9932(032)
Charrge Qrder Number Change Description Date
24 Irrigatinn additivns a.nd deletians May 21, 2009
Region Praject Engineer ~ Phone Number
Eastern Region Steven M. Worley 509-658-0198
Prime Contractor
Hand, A.sphalt Companv
M Ordered by Engineer under the terms of Secfion 1-04.4 af the Standard Specifications
Change prvposed hy Contractor
Change Descriptian
The C'reneral Special Provisions for xhis project are supplemen#ed as follows;
Description
The Contractor shall delete the irrigation systems for swales 3 and 4. In addition, the Cantractor shall repair damage
caused by construction ta existing sprinlcler systems in Lot 2, Lot 4, Lat 12 and Lot 23.
I Payment
'I'he lump su.m amount of $4205.12 shall be full pay far all labor, equipment and materials to perfvrm the work
specified.
Contract Time
Con#ract time will not be adjusted as a result af #his Change Order.
Ali work, materials and measurements ta be in accordance vvith the provisions af #he Standard Specifications and Speciat
Provisions for #he type of carastructlon involved unless stated otherwise in this dacument.
Original Contract Amount Current Cantract Amaunt Est. Net Change This C.O. Est. 14evised Contraet Amount
$ 350619916.95 $ 3=71397.12 $ 4,205.12 $ 3,2317602.24
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Prime Con#ractor SEgnature or - , Da#e ~ -02_•Gq
Method of CvncurrenCe: F
u
Prvject Engineer's Signature #or Executiono ~ Date
distribution: Original wlAttachments - Steven M. Worley
Copy of page 1 only w1o Attachments - lnland Asphalt ComAany Pa9e 1
Copy wlo Atka chments - ER Constructi an C]ffice
~ DQT Form 421-005A €F Capy wlo Attachments - State Gonstructian Office
Revised 412002