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• SEH CHANGE ORDER <br />• <br />City of Lino Lakes, Minnesota January 21, 2008 <br />OWNER DATE <br />OWNER'S PROJECT NO. <br />Legacy at Woods Edge - Phase 2 <br />PROJECT DESCRIPTION <br />4 <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 />GFI — Damage caused by lightning strike <br />• Cost of GFI $274.24 <br />• 6 hours Electrician and Equipment $609.00 <br />• 6 hours Foreman and Equipment $370.98 <br />• 6 hours Laborer $237.90 <br />• Total for this work $1,492.12 <br />Maintenance items on Punch List that were not a craftsmanship /warranty item (see attached for more <br />detail): <br />• 9 hours Foreman, Laborer and Equipment $913.32 <br />• 4 hours Electrician and equipment $406.00 <br />• Total for this work $1,319.44 <br />Total Cost: <br />Purpose of Change Order. <br />Damage caused by a lightning strike. <br />Maintenance items on Punch List that were not a craftsmanship /warranty item <br />$2,811.44 <br />Basis of Cost: ® Actual ❑ Estimated <br />Attachments (list supporting documents) <br />Details of work completed for Change Order #4 <br />Contract Status <br />Original Contract <br />Net Change Prior C.O.'s 1 to 3 <br />Change this C.O. <br />Revised Contract <br />Time <br />N/A <br />Recommended for Approval: Short Elliott Hendrickson Inc. by <br />Agreed to 1! C o- <br />BY SigFtature Lighting Inc. <br />Cost <br />$483,135.84 <br />$150,203.95 <br />$2,811.44 <br />$636,151.23 <br />usan MEIroject Manager <br />Approved for Owner <br />BY City of Lino Lakes, Minnesota <br />TITLE 7771.E <br />Distribution Contractor 2 Owner 1 Project Representative 1 SEH Office 1 <br />OkoWi nri030503Uegecyph2 constphase co#4.oc <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 tax <br />-39- <br />