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*AIA Document G7OITM - 2001 <br />Change Order <br />PROJECT (Name and address): CHANGE ORDER NUMBER: 002 <br />Lino Lakes Fire Station <br />1710 13irch Street <br />Lino ',tikes, MN 55038 <br />TO CONTRACTOR (Name and addres,c) <br />Jorgenson Construction Inc. <br />9255 East River Road NW <br />Suite A <br />Coon Rapids. MN 55433 <br />DATE: December 22. 2015 <br />ARCHITECT'S PROJECT NUMBER: 14045 <br />CONTRACT DATE: February 24, 2015 <br />CONTRACT FOR: General Construction <br />OWNER: II <br />ARCHITECT: 0 <br />CONTRACTOR: 111 <br />FIELD: 0 <br />OTHER: <br />THE CONTRACT IS CHANGED AS FOLLOWS: <br />(Include, where applicable. any undisputed amount attributable to previously executed Construction Change Directives) <br />(CPR 1 JIM door changes. $3.293.00 <br />$1.425.00 <br />$2,530.00 <br />$1.843.00 <br />$0.00 <br />$414.00 <br />$2.468.00 <br />$ I .331.00 <br />$220.00 <br />$891.00 <br />(S1,878.00) <br />$1.425.00 <br />$253.00 <br />SI4.215.00 <br />PR#4 <br />PR#6 GCPR3 <br />PR#7R <br />PR#8 <br />PR#9 <br />PR#I0 <br />PR#I 1 <br />PR# 12 <br />(;CPR4 <br />GCPRS <br />PR#13R1 <br />PR# 14 <br />Classroom 107 power and data revisions. <br />East-West road suhgrade correction. <br />Apparatus Hays and Dispatch/Staging receptacles. <br />Grading and utility revisions in wetland mitigation. <br />Integral sink in SCLIA 109. <br />West foundation shrub planting. <br />Northwest corner seeding area. <br />Roof penetration at Hotsy vent. <br />Catch basins 1 & 2 cutting. <br />Substitute roof mechanical stai..-en mantifiteturer. <br />Exhaust fan VEF-1 controls. <br />Receptacle thr gear washer soap dispenser, <br />TOTAL <br />The original Contract Sum was <br />The net change by previously authorized Change Orders <br />The Contract Sum prior to this Change Order was <br />The Contract Sum will he increased by this Change Order in the amount of <br />The new Contract Sum including this Change Order will he <br />3.847.100.00 <br />42,727.00 <br />3.889.827.00 <br />14.215.00 <br />3.904.042.00 <br />The Contract Time will be increased by Zero (0) days. <br />The date of Substantial Completion as of the date of this Change Order therelbre is December 4, 2015. <br />NOTE: This Change Order does not include changes in the Contract Sum. Contract Time or Guaranteed Maximum Price Which have <br />been authorized by Constriction Change Directive until the cost and time have been agreed upon by both the Owner and <br />Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. <br />NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER. <br />CNI I Architects. Inc. <br />ARCHITECT (Firm name) <br />7300 West 147th Street. Suite 504, <br />Apple Valley. MN 55124 <br />ADD'' <br />BY Signature) <br />Quinn Ifutson <br />(Typed 17anIt'l (Typed name) (Typed name) <br />1Z. f23 1C., <br />DATE DATE DATE <br />Jorgenson Construction Inc. <br />CONTRACTOR (Firm name) <br />9255 East River Road NW. Suite A. <br />Coon Rapids, MN 55433 <br />ADDRESS <br />BY (Signa(ure) <br />Dwayne Kanne <br />Ci of•Lino Lakes <br />OWNER (Firm nantc) <br />600 Town Center Pkwv., <br />Lino Lakes, MN 55014-1182 <br />ADDRESS <br />BY (Signature) <br />AIA Document G701 — 2001. Copyright t) 1979. 1987, 2000 and 2001 by The American Institute of Architects. P41 rights reserved. WARNING: This AIAI <br />Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA,, Document, or any <br />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 <br />produced by AIA software at 10:40:45 on 12/23(2015 under Order No.3095413000_1 which expires an 01/17/2016. and is not for resale. <br />User Notes: (1769552232) <br />