CITY OF EUGENE <br />DEPARTMENT OF PUBLIC WORKS <br />ENGINEERING DIVISION <br />Change Order <br />CONTRACTOR; Eu ene Sand and Gravel <br />(ADDRESS) P.O. Box 1067 <br />Eu ene, OR 97440 <br />Attn; Jerry Wilkison . __ <br />PROJECT; Sorrel Wa Storm Im rovements <br />You are directed to make the following changes in this contract: <br />Contract <br />Cnntrart Cnntrart <br />Job # 4375 <br />Contract # 2001-23 <br />Change Order # 1 <br />Date: 09/27/07 <br />CAMS Date: <br />Reviewed by: Date: <br />Inspector: Karl Kreutzer <br /> Kris Olson <br />Proj. Mgr. Chuck Mueller ~ <br />Principal Eng. M Cahill <br />Item <br />Na. Item Time <br />Change Quantity <br />(Units} Unit <br />Cost <br />Amount <br />(+1-) Amended <br />Change Net <br />Change <br /> Ori final 0.00 OAO 0.00 $D.00 <br />270 Removal of Dry Well Revised 0.00 DAO 0.00 <br /> Amended 1.00 LS $9,211.24 $9,211.24 $9,211.24 <br /> Ori final 0.00 OAO 0.00 $0.00 <br />28D Relocation of Water Line Revised OAO 0.00 OAD <br /> Amended 1.00 LS $1,215.34 $1,215,34 $1,215.34 <br /> Ori final 0.00 OAO 0.00 $D.00 <br />290 Additional Pipe Cast Revised 0.00 O.DD OAO <br /> Amended 1,00 LS $1,965.05 $1,965.05 $1,965.05 <br /> Ori final 0,00 0.00 D.00 $0.00 <br /> Revised 0,00 0.00 0.00 <br /> Amended 0.00 $0.00 $0.00 $0.00 <br /> Ori final 0.00 0.00 0.00 $0.00 <br /> Revised 0.00 0.00 O.OD <br /> Amended 0.00 $0.00 $0.00 $0.00 <br /> Ori final 0.00 0.00 0.00 $0.00 <br /> Revised 0.00 0.00 0.00 <br /> Amended 0.00 $0.00 $0.00 $0.00 <br />The original contract work days are O.D da <br />The contract time change this C.0 0.0 da <br />The contract time change by previous C.O.'s o.o da s <br />The new contract work da s are oA days <br />The original contract sum was ................................................................................................................................................................................. <br />Net change by previous change order ...................................................................................................................................................... <br />Net change due to amendment by previous change order <br />The contract sum prior to this change order was <br />This change order will change contract sum by this amount <br />.............................................................................................................................. <br />The new contract net change sum <br />The new contract amendment sum .............................................................................................................................. <br />The new contract sum including this change order will~~be~ .................................................................................................................................................. <br />Percents a of on inaf contract <br />NET CHANGE DICE TO AMEN©MENT$ <br />Approval by: <br />City En ' Prime Contractor Third Party <br />~~~ <br />Date Date Date <br />D CONTRACTOR D OFFICE FILE ~ PURCHASINGICRO <br />$258,154.60 <br />$0.00 <br />$a.DD <br />$258,154.60 <br />$12,391.63 <br />$0.00 <br />$12,391.63 <br />$270,546.23 <br />4.$a~io <br />4.80Q/o <br />QIFORMSIPROJEGTICONSTtREVISED CHANGE ORDER.XLS <br />This changes the bid items as follows: <br />