09-077.00 Inland Asphalt: Pines Mansfield Congestion Relief
AshL
Washington State
~ Department of Transportation Change Order - Minor Chang@
Contract Number Contract Title Federal Aid Number
TA-2942 Pines-Mansfield Corridor Congestion Relief Project CM-9932(032)
Change Order Number Change Description Date
18 UPRR control house connectivity May 6, 2009
Region Project Engineer Phone Number
Eastern Region Steven M. Worley 509-688-0198
Prime Contractor
Inland Asphalt Compa.ny
,
N Ordered by Engineer under the terms of Section 1-04,4 of the Standard Specifications
❑ Change proposed by Contractor Change Description
The General Special Provisions for this project are supplemented as follows:
Description
Install the conduit and wiring in accardance with the attached plan sheets to accomodate the new railroad crossing for
UPRR.
Payment
The lump sum amount of $3,885.22 shall be full pay for all labor, equipment and materials to perform the work
specified.
Contract Time
One (1) additional contract day will be added as a result of this Change Order.
All work, materials and measurements to be in accordance with the provisions of the Standard Specifications and Special
Provisions for the type of constructlon involved unless stated otherwise in this document.
Original Contract Amount Current Contract Amount Est. Net Change This C.O. Est. Revised Contract Amount
$ 3,061,916.95 $ 3,1969235.81 $ 3,885.22 $ 392009121.03
Prime Contractor Signature or !
Method of Concurrence: Date ~ • ~
Project Engineer's Signature for Execution: Date
Distribution: Original w/Attachments - Steven M. Worley
Copy of page 1 only w/o Attachments - Inland Asphalt Company Page 1
Copy w/o Attachments - ER Construction Office
DOT Form 421-005A EF Copy w/o Attachments - State Construction Office
Revised 4/2002 coQ, D ~ ~