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WSbl CHANGE ORDER <br />Rev. December 2023 <br />Page 1 of 1 <br />WSB Project No. 023947-000 Owner Project No. Change Order No. 1 <br />Project Title/Description: 2024 Woods Edge Permeable Paver Project, Phase 1 <br />Owner: City of Lino Lakes <br />Owner Address: 600 Town Center Parkway Lino Lakes, MN 55014-1182 <br />Contractor: Parkstone Contracting, LLC <br />Contractor Address: 8270 Foothill Road S Cottage Grove, MN 55016 <br />Total Change Order Amount: $4,071.72 <br />Reason: The Engineer has determined the Contract needs to be revised in accordance with specification name <br />Issue: SEAL PAVERS <br />Contract Time: is not changed <br />Estimate Of Cost: Include any increases or decreases in contract items, any ne otiated or force account items. <br />Group/Funding <br />Category <br />Item No. <br />Description <br />Unit <br />Unit Price <br />+ or — <br />Quantity <br />+ or — <br />Amount $ <br />Local <br />1 <br />ISEALPAVERS <br />LS <br />1$4,071.72 <br />1 <br />$4,071.72 <br />Net Change This Change Order <br />$4,071.72 <br />Approved By Project Engineer: <br />Approved By Contractor: <br />Approved By Owner: <br />u6L— Jordan Gedrose <br />Date: October 8, 2024 <br />Date: /O 8 /,�0a Y <br />Date: <br />