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Rev. July 2020
<br /> CHANGE ORDER Page 1 of 1
<br />
<br />WSB Project No. 015887-000 Owner Project No. Change Order No. 1
<br />Project Title/Description: 2021 Downtown Improvement Project - Lions Park Project
<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: $205,269.87
<br />Description: Change Order No. 1
<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 />1 / Local COR10 NEW STORM STRUCTURE LS $13,710.76 1 $13,710.76
<br />1 / Local COR11 NOV T AND M LS $11,232.20 1 $11,232.20
<br />1 / Local COR12 LED LIGHTS LS $14,634.15 1 $14,634.15
<br />1 / Local COR13 PRECAST SIGN COLOR CHANGE LS $14,175.00 1 $14,175.00
<br />1 / Local COR14 NEW LETTERING LS $16,440.00 1 $16,440.00
<br />1 / Local COR15 BRICK CREDIT LS ($1,312.50) 1 ($1,312.50)
<br />1 / Local COR16 PLANTER IRRIGATION LS $5,031.40 1 $5,031.40
<br />1 / Local COR17 COLUMN MODIFICATIONS LS $17,015.70 1 $17,015.70
<br />1 / Local COR18 ANOVA MATERIAL CHANGE LS $9,247.79 1 $9,247.79
<br />1 / Local COR2 STAKING ISSUE ON STRM LS $9,345.60 1 $9,345.60
<br />1 / Local COR20 SOD LS $11,465.00 1 $11,465.00
<br />1 / Local COR21 12" RCP LS $5,677.65 1 $5,677.65
<br />1 / Local COR22 REBRICK COLUMN LS $4,636.50 1 $4,636.50
<br />1 / Local COR23 MOVE BOLLARDS LS $2,420.00 1 $2,420.00
<br />1 / Local COR24 6X4 WM REDUCER LS $2,671.90 1 $2,671.90
<br />1 / Local COR25 SIPPER CREDIT LS ($3,520.00) 1 ($3,520.00)
<br />1 / Local COR26 5558 147TH LANDSCAPING LS $3,900.60 1 $3,900.60
<br />1 / Local COR27 ELECTRICAL HIT - PLAYGROUND LS $2,378.49 1 $2,378.49
<br />1 / Local COR28 IRRIGATION FIELD FIT LS $3,156.34 1 $3,156.34
<br />1 / Local COR29 ONEKA BLVD MEDIAN IRRIGATION LS $2,113.65 1 $2,113.65
<br />1 / Local COR30 YARD REPAIR - 14830 FLAY AVE LS $1,108.95 1 $1,108.95
<br />1 / Local COR33 VOLUNTEER PARK LETTERING LS $2,035.00 1 $2,035.00
<br />1 / Local COR34 5470 146TH IRRIGATION REPAIR LS $3,644.69 1 $3,644.69
<br />1 / Local COR35 CORE DRILL HANDICAP SIGNAGE LS $2,205.00 1 $2,205.00
<br />1 / Local COR36 STAMPED CONCRETE LS $8,382.00 1 $8,382.00
<br />1 / Local COR6 TEMP LIGHTING LS $5,343.80 1 $5,343.80
<br />1 / Local COR9 OCT. T AND M WORK LS $38,130.20 1 $38,130.20
<br />Net Change This Change Order $205,269.87
<br />Due to this change, the contract time: (check one)
<br />( X ) 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 />Approved By Contractor: Date:
<br />
<br />Approved By Owner: Date:
<br />
<br />
<br />November 2, 2022
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