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Rev. July 2020 <br /> CHANGE ORDER Page 1 of 1 <br /> <br />WSB Project No. 021412-000 Owner Project No. Change Order No. 1 <br />Project Title/Description: Pheasant Run Reconstruction Project <br />Owner: City of Lino Lakes <br />Owner Address: 600 Town Center Parkway Lino Lakes, MN 55014-1182 <br />Contractor: A-1 Excavating, Inc. <br />Contractor Address: PO Box 90 Bloomer, WI 54724 <br />Total Change Order Amount: $29,800.00 <br />Description: Lump Sum for Vibration Monitoring to include - time for 13 surveys of residential properties along Pheasant Run. <br />The surveys will be documented with video, still camera and notes. Upon completion a report from the documentation will be <br />provided. Utilization of a Vibration Control Plan where an assessment is made of the adjacent buildings conditions, evaluation <br />of the soils condition, equipment use and potential for vibration. Within the control plan there would also be thresholds and a <br />plan for mitigation of risk if thresholds are exceeded. Two monitors would be used for a period of 3 months to record the data <br />from vibrations and remotely alerts via e-mail or texts. Time is also included for maintenance/ battery swaps of the unit and <br />potential moves along the construction site as the project progress. A final report summarizing the findings will be provided <br />upon completion. This is also inclusive of any appurtenances utilized. <br /> <br /> <br /> <br />Estimate Of Cost: (Include any increases or decreases in contract items, any negotiated or force account items.) <br />Group/Funding <br />Category Item No. Description Unit Unit Price + or – <br />Quantity <br />+ or – <br />Amount $ <br />Local 2011.601 VIBRATION MONITORING LS $27,000.00 1 $27,000.00 <br />Local 2021.501 MOBILIZATION LS $2,800.00 1 $2,800.00 <br />Net Change This Change Order $29,800.00 <br /> <br />Due to this change, the contract time: (check one) <br />( ) Is NOT changed ( ) May be revised as provided in MnDOT Specification 1806 <br />Number of Working Days Affected by this Contract Change: 0 <br /> <br />Number of Calendar Days Affected by this Contract Change: 0 <br /> <br /> <br />Approved By Project Engineer: Date: <br /> <br />Approved By Contractor: Date: <br /> <br />Approved By Owner: Date: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />July 5, 2023