~ y ~y <br /> # G' ~ / ~ 1 ~ ~ / Page 1 of 2 pages <br /> CONTRACT CHANGE ORDER NO. 1 <br /> or <br /> SUPPLEMENTAL AGREEMENT NO. <br /> AIRPORT Eugene Mahlon Sweet Field DATE 6/23/04 <br /> LOCATION Eugene AIP PROJECT NO. 3-41-0028-33/34 <br /> CONTRACTOR Wildish Const. Co. h ~ ~ a <br /> You .are requested to perform the following described work upon receipt of an approved copy of this <br /> document or as directed by the engineer: <br /> Item Unit <br /> No. Descri tion Unit Price uanti Amount <br /> 1 Change two electrical vaults located EA 51,012 2 52,024 <br /> immediatley south of the new electrical <br /> vault (shown on "El" and "ElE" on Plan <br /> sheet 100) to Utility Vault #776-LA-5. <br /> These two vaults will have double doors. <br /> 2 Change 31 vaults to Utility Vault #575 LA EA No Cost 31 No Cost <br /> in 31 locations. <br /> This Chan a Order Total $ 2 024 <br /> Previous Chan a Order s Total $ 0 <br /> Revised Contract Total $ ' , <br /> c~ <br /> The time provided for completion in the contract is (unchanged) (decreased) (increased) by <br /> Unchanged working days. This document shall become an amendment to the contract and all <br /> provisions of the contract will apply. Changes are shown on Drawing(s) No. The attached cut sheets <br /> dated ,three copies attached. <br /> Recommended by: William Ness 6/23/04 <br /> Engin r Date <br /> <br /> Approved by: ~ 8' a ~ g ~a <br /> Own to <br /> <br /> Accepted by: o <br /> Contractor Date <br /> Concurred by: <br /> State Aeronautics (if applicable) Date <br /> Approved by: ~~IrV~i4W?'+~t.~Z.t~~j`' 7- 20 D~ <br /> Federa Aviatio~A~in_ istration Date <br /> ~j fv ~t~.P <br /> <br />