HomeMy WebLinkAboutItem 5 - Keats Ave - Change Order No 2 Signed CONTRACT CHANGE ORDER FORM
CITY OF LAKE ELMO, MINNESOTA FOCUS ENGINEERING, inc.
KEATS MSA STREET AND TRUNK WATERMAIN IMP
PROJECT NO.2012.129
CHANGE ORDER NO. 2 DATE: July 3, 2013
TO: T.A. SCHIFSKY&SONS, INC., 2370 E HIGHWAY 36, NORTH ST. PAUL, MN 55109
This Document will become a supplement to the Contract and all provisions will apply hereto.The Contract Documents ale
modified as follows upon execution of this Change Order.
CHANGE ORDER DESCRIPTION/JUSTIFICATION:
The City has requested the Contractor to remove a large cotton wood tree(with 8 trunks)and stump in order to complete
storm sewer improvements and protect the future integrity of the roadway.
Attachments (list documents supporting change): N/A
ITEM DESCRIPTION OF PAY ITEM UNIT CITY UNITE PRICE INCREASE/(DECREASE)
CO2-1 Remove Cottonwood Tree and Stump LS 1 $3,960.00 $3,960.00
NET CONTRACT CHANGE $3,960.00
Amount of Original Contract $ 1,606,833.47
Sum of Additions/Deductions approved to date(CO Nos. 1) $ 0.00
Contract Amount to date $ 1,606,833.47
Amount of this Change Order (ADD) (DEDUCT) (NQ ry CUHArNGEE) $ 3,960.00
Revised Contract Amount $ 1,610,793.47
The Contract Period for Completion will be (UNCHANGED) (INCREASED) (DECREASED) 0 days
APPROVED BY ENGINEER: FOCUS Engineering, inc. APPROV BY CONTRA - OR
ENGINEER Y
7/3/2013 7 1
DATE DAT
APPROVED BY OWNER: CITY OF LAKE ELMO, MINNESOTA
BY BY
DATE DATE
FOCUS Engineering,inc. CHANGE ORDER FORM