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4 t R <br />• SEH CHANGE ORDER <br />City of Lino Lakes, Minnesota March 3, 2009 <br />OWNER DATE <br />OWNERS PROJECT NO. <br />Legacy at Woods Edge - Phase 3 <br />PROJECT DESCRIPTION <br />2 <br />CHANGE ORDER NO. <br />A- LINOL0305.03 <br />SEH FILE NO. <br />The following changes shall be made to the contract documents: <br />Description: <br />1. Contractor to delete irrigation on Sheet 1R4 east of drive entrances at Station 43 +50 Village Drive and <br />irrigation along Woods Edge Boulevard at a deduct amount of ($8,540.00). <br />2. Contractor to furnish and install sleeve boring at Station 3 +50 Town Center Parkway north of <br />roundabout at a cost of $1,020.08. <br />3. Contractor to furnish and install sleeve boring under concrete aprons at 3 +00 and 6 +00 Town Center <br />Parkway north of roundabout a cost of $3,058.65. <br />4. Contractor to add bends to irrigation main line at Town Center Parkway & Village Drive intersection at <br />a cost of $529.42. <br />5. Contractor to replace damaged tree along NW corner of roundabout in raised median at a cost of <br />$432.00. <br />6. Contractor to install 2,425 SF of Concrete with Decorative Scoring at the contract unit price. Total <br />cost of item $12,003.75 <br />Purpose of Change Order: <br />Additions to contract based on field changes and city requests throughout the project. <br />Basis of Cost.: ® Actual ❑ Estimated <br />Attachments (list supporting documents) <br />Invoices requesting change order payment from Jay Bros., Inc. <br />Contract Status <br />Original Contract <br />Net Change Prior C.O.'s 1 to N/A <br />Change this C.O. N/A <br />Revised Contract <br />Recommended for Approval: Short Elliott Hendrickson Inc. by <br />Time <br />Agreed to bz Contractor: <br />BY Jay Bros., Inc. <br />Cr _.o <br />Cost <br />$1,549,732.38 <br />$27,419.41 <br />$8,503.90 <br />$1,585,655.69 <br />11 /g <br />Susan M. son / Project Manager <br />Approved for Owner: <br />BY City of Lino Lakes, Minnesota <br />TITLE TITLE <br />Distribution Contractor 2 Owner 1 <br />s koo-I linol 030503 legac■ph3 construction coo2_revised030309 doe <br />Project Representative 1 SEH Office 1 <br />Short Elliott Hendrickson Inc., 3535 Vadnais Center Drive, St. Paul, MN 55110 -5196 <br />SEH is an equal opportunity employer 1 www.sehinc.com 1 651.490.2000 1 800.325.2055 1 651.490.2150 fax <br />1 04 <br />