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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. 2 <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: $41,207.57 <br />Description: Change Order 2 <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 COR31 ADDITIONAL STEPPERS LS $8,108.38 1 $8,108.38 <br />1 / Local COR37 2022 FUEL ESCALATION LS $20,507.40 1 $20,507.40 <br />1 / Local COR38 LIONS PARK IRRIGATION REPAIRS LS $1,377.20 1 $1,377.20 <br />1 / Local COR39 BR PAVING INCREASES LS $7,629.09 1 $7,629.09 <br />1 / Local COR40 METAL RECEPTICLES LS $2,800.00 1 $2,800.00 <br />1 / Local COR41 RAISE CONCRETE LIGHT BASE LS $785.50 1 $785.50 <br />Net Change This Change Order $41,207.57 <br /> <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 /> <br /> <br /> <br /> <br /> <br /> <br /> <br />December 13, 2022 <br />12/13/2022