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DRAFT – FOR DISCUSSION ONLY.  <br />13  <br />  <br />Exhibit E: Change Order <br /> <br />This Change Order to the Agreement (“Change Order”), is effective on this ___ day of _______, <br />20__ (“Change Order Effective Date”) and modifies the terms of the Agreement between the <br />City of Hugo located at 14669 Fitzgerald Avenue North, Hugo, MN 55038, and the Forest Lake <br />Historical Society, and the Hopkins Schoolhouse and Heritage Center. <br /> <br />1. Description of Proposed Change: <br /> <br />Impact of change on: Description: Comments <br />Parties to the Agreement <br />Authorized Official(s) <br />Measures of Success <br />Schedule <br />Other <br /> <br /> <br />2. Change Requestor: <br /> <br /> <br />IN WITNESS WHEREOF, the parties have caused this Change Order to the Agreement to be <br />executed as of the Change Order Effective Date by their duly authorized representatives. <br /> <br />Change Order Effective Date: ______________________ <br /> <br /> <br />Forest Lake Historical Society City of Hugo <br /> <br />By: _____________________________ By:________________________ <br /> <br /> <br />Name: ___________________________ Name:_______________________ <br /> <br /> <br />Hopkins Schoolhouse & Heritage Center <br /> <br />By:_______________________________ <br /> <br />Name: ____________________________