HomeMy WebLinkAboutChange Order No. 1 CONTRACT CHANGE ORDER FORM
CITY OF LAKE ELMO, MINNESOTA FOCUS ENGINEERING, inc.
INWOOD WATER TOWER(NO.4)
PROJECT NO.2015.130
CHANGE ORDER NO. 1 DATE: April 8, 2016
TO: CB&I Inc., 14109 S. Route 59, Plainfield, IL 60544
This Document will become a supplement to the Contract and all provisions will apply hereto.The Contract Documents are
modified as follows upon execution of this Change Order.
CHANGE ORDER DESCRIPTION/JUSTIFICATION:
Modify contract documents 00 73 00-Supplementary Conditions,Paragraph 5.04 C,5,c:Add SEH,Inc as additional insured.
Attachments (list documents supporting change): None
ITEM DESCRIPTION OF PAY ITEM UNIT CITY UNITE PRICE INCREASE/(DECREASE)
C01-1 N/A $0.00
NET CONTRACT CHANGE $0.00
Amount of Original Contract
$ 2,395,000.00
Sum of Additions/Deductions approved to date(CO Nos. ) $ 0.00
Contract Amount to date $ 2,395,000.00
Amount of this Change Order (ADD) (aIJGT) (NO CHANGE) $ 0.00
Revised Contract Amount
$ 2,395,000.00
The Contract Period for Completion will be UNCHANGED (INCREASED) DECREASED
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APPROVED BY ENGINEER: SEH, Inc. APPROVED BY CONTRACTOR G r� I MC.
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ENGINEE BY
4/25/2016
DATE DATE /
APPROVED BY OWNER: CITY OF LAKE ELMO, MINNESOTA
BY BY
DATE DATE
FOCUS Engineering,inc. CHANGE ORDER FORM