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Rev. July 2020 <br /> CHANGE ORDER Page 1 of 1 <br /> <br />WSB Project No. 012692-000 Owner Project No. Change Order No. 1 <br />Project Title/Description: CSAH 8 STORM WATER REUSE <br />Owner: City of Hugo <br />Owner Address: 14669 Fitzgerald Avenue North Hugo, MN 55038 <br />Contractor: Peterson Companies, Inc. <br />Contractor Address: 8326 Wyoming Trail Chisago City, MN 55013 <br />Total Change Order Amount: $17,307.15 <br />Description: Electrical Service Change <br /> <br /> <br /> <br /> <br /> <br />Estimate Of Cost: (Include any increases or decreases in contract items, any negotiated or force account items.) <br />Group/Funding <br />Category Item No. Description Unit Unit Price + or – <br />Quantity <br />+ or – <br />Amount $ <br />Local 2550.601 ELECTRICAL SERVICE LS $17,307.15 1 $17,307.15 <br />Net Change This Change Order $17,307.15 <br /> <br />Due to this change, the contract time: (check one) <br />( ) Is NOT changed ( ) May be revised as provided in MnDOT Specification 1806 <br />Number of Working Days Affected by this Contract Change: <br /> <br />Number of Calendar Days Affected by this Contract Change: <br /> <br /> <br />Approved By Project Engineer: Date: <br /> <br />Print Name: Phone: <br /> <br />Approved By Contractor: Date: <br /> <br />Print Name: Phone: <br /> <br />Approved By Owner: Date: <br /> <br />Print Name: Phone: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />December 29, 2021 <br />Mark Erichson 612.360.1278