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