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!tAIA Document G701TM- 2001 Change Order PROJECT (Name and address): CHANGE ORDER NUMBER: 002 Lino Lakes Fire Station 1710 Birch Street Lino Lakes, MN 55038 TO CONTRACTOR (Name and address): Jorgenson Construction Inc. 9255 East River Road NW Suite A Coon Rapids, MN 55433 DATE: December 22, 2015 ARCHITECT'S PROJECT NUMBER: 14045 CONTRACT DATE: February 24, 2015 CONTRACT FOR: General Construction OWNER: ❑ ARCHITECT: ❑ CONTRACTOR: ❑ FIELD: ❑ OTHER: ❑ THE CONTRACT IS CHANGED AS FOLLOWS: (Include, where applicable, any undisputed amount attributable to previously executed Construction Change Directives) GCPR 1 HM door changes. PR#4 Classroom 107 power and data revisions. PR#6 GCPR3 East-West road subgrade correction. PR#7R PR#8 PR#9 PR#10 PR#11 PR#12 GCPR4 GCPR5 PR#13R1 PR# 14 Apparatus Bays and Dispatch/Staging receptacles. Grading and utility revisions in wetland mitigation. Integral sink in SCBA 109. West foundation shrub planting. Northwest corner seeding area. Roof penetration at Hotsy vent. Catch basins 1 & 2 cutting. Substitute roof mechanical screen manufacturer. Exhaust fan VEF-1 controls. Receptacle for gear washer soap dispenser. TOTAL $3,293.00 $1,425.00 $2,530.00 $1,843.00 $0.00 $414.00 $2,468.00 $1,331.00 $220.00 $891.00 ($1,878.00) $1,425.00 $253.00 $14,215.00 The original Contract Sum was The net change by previously authorized Change Orders The Contract Sum prior to this Change Order was The Contract Sum will be increased by this Change Order in the amount of The new Contract Sum including this Change Order will be The Contract Time will be increased by Zero (0) days. The date of Substantial Completion as of the date of this Change Order therefore is December 4, 2015. $ 3,847,100.00 $ 42,727.00 $ 3,889,827.00 $ 14,215.00 $ 3,904,042.00 NOTE: This Change Order does not include changes in the Contract Sum, Contract Time or Guaranteed Maximum Price which have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER. CNH Architects, Inc. ARCHITECT (Firm name) 7300 West 147th Street, Suite 504, Apple Valley, MN 55124 ADD BYfSignature) Quinn Hutson Jorgenson Construction Inc. CONTRACTOR (Firm name) 9255 East River Road NW, Suite A, Coon Rapids, MN 55433 ADDRESS BY (Signature) Dwayne Kanne City of Lino Lakes OWNER (Firm name) 600 Town Center Pkwy., Lino Lakes, MN 55014-1182 ADDRESS BY (Signature) (Typed name) (Typed name) (Typed name) I° / 3f16 DATE DATE DATE AIA Document G701 TM - 2001. Copyright © 1979, 1987, 2000 and 2001 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 10:40:45 on 12/23/2015 under Order No.3095413000_1 which expires on 01/17/2016, and is not for resale. User Notes: (1769552232)