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CONTRACT CHANGE ORDER <br /> JE T NAMQ (SECTION) CONTRACT NO. <br /> Ferry S t!Bridge & Overpass Rehab. C11874 <br /> NIGHW Y' PROJECT MANAGER (PLEASE PRINT) F. A. PROJECT NO. <br /> CobtilrgRoad (Eugene) Ted Keasey DPB-0002 003 <br /> CONT C OR rYAME AND ADDRESS REASON CODE REASON FOR TIME REGION CONTRACT CHANGE ORDER NUMBER <br /> i <br /> Mowalt ~ 13 0 2 92 <br /> 9800%$~ FUNerROad REQUESTED BY SUB JOB (CONSTRUCTION SECTION) <br /> Portland OR 97266 <br /> Contractor <br /> THIS !r TRACT IS HEREBY MODIFIED AS FOLLOWS: <br /> ~ES~RIPTION AND LOCATION OF WORK OR ITEMS COVERED BY THIS ORDER: <br /> FMaI se~tlettlent of all Contractor claims made or that could be made of any kind or amount, known or unknown, on contract No. 11874 <br /> regarjdlt~ss of amourrt or theory of eetlement. Total sums paid includes statutory interest and settles all claims irtduding but not limited <br /> to thc~ preserrted at the post Step 2 Agency review on March 6; 2003. <br /> SPEC( (CATIONS AND PROVISIONS -THE WORK TO BE DONE UNDER THIS ORDER IS TO BE PERFORMED, MEASURED, AND <br /> PAID FOR IN!ACCORDANCE WITH THE TERMS FOR THE ABOVE CONTRACT EXCEPT AS MODIFIED AS FOLLOWS - <br /> PAY T M ITEM DESCRIPTION ESTIMATED QUANTITY UNIT UNIT PRICE AMOUNT <br /> <br /> 4092A Claim Settlement 1.00 Lump Sum x1,900,000.00 x1,900,000.00 <br /> <br /> 40926', Interest 1.00 Lump Sum x119,026.41 x119,026.41 <br /> INCREASE ~ x2,019,026.41 <br /> ESTI(V~AtED NET COST EFFECT OF THIS AGREEMENT ON THE CONTRACT: <br /> DECREASE <br /> CONTRAiCTQR SIGNATURE ®IS ? IS NOT NECESSARY <br /> CONT~jCTgR SIGNATURE MAKES THIS CONTRACT CHANGE ORDER A SUPPLEMENTAL AGREEMENT. <br /> FORS MENTAL AGREEMENTS ONLY: Please indicate your agreement by ? RECOMMENDED ? APPROVED BY PROJECT MANAGER DATE <br /> <br /> signing, at~r?g and returning the original to the Project Manager. Work shall not begin <br /> until yob arla notified that the sgreement has ekher been approved or that work may <br /> <br /> commerce ~unde f advance approval. Your signature further indicates agreement that <br /> <br /> paymer?~s iii acclxdance with this agreement constitute futl and complete NOTED RECOMMENDED APPROVED BYAREA MGR DATE <br /> <br /> compenkat~on for all costs, both direct and Indirect, arising out of the described work ? ? ? <br /> covered' by this agreement, and releas and du:charges the State from other costs <br /> --•~ept is provided ein. <br /> 3_ _ ~ ~ ? NOTED ? APPROVED BY CONSTRUCTION DATE <br /> CT R DATE <br /> ~ DISTRIBUTION: After obtaining the contractor's signature (if needed) <br /> A 0 A RECOMMENDED LOCAL AGENCY DATE Project Manager submits the original through the Area Manager to <br /> Construction. Construction distributes copies to the contractor and <br /> others as appropriate. <br /> 734'1189 (12-02) <br /> <br />