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CITY OF EUGENE <br />DEPARTMENT OF PUBLIC WORKS <br />ENGINEERING DIVISION <br />Change Order <br />CONTRACTOR: John Hyland Construction, Inc <br />(ADDRESS) Attn: Mark Brabham <br />P.O. Box 7867 <br />Eugene, OR 97401 <br />PROJECT: Lifeflight Helipad at Fire Station 2 <br />You are directed to make the following changes in this contract: <br />This changes the bid items as follows: <br />Contract Contract <br />Job # <br />4656 <br />Contract# <br />ChangeOrder# <br />Date: <br />2010-009 <br />1 <br />11112/09 <br />CAMS Date: <br />Reviewed by: <br />Date: <br />Inspector: <br />Kris Olson <br />l'w <br />Proj. Mgr. <br />Kris Olson <br />Principal Eng. <br />Michelle Cahill <br />Item <br />No. <br />Item <br />Time <br />Change <br />Quantity <br />(Units) <br />Unit <br />Cost <br />Amount <br /> <br />Amended <br />Change <br />Net <br />Change <br />Ori final <br />0.00 <br />0.00 <br />0.00 <br />$0.00 <br />Revised <br />0.00 <br />0.00 <br />0.00 <br />71 <br />Installation of #8 Grounding Wire <br />Amended <br />1.00 LS <br />$243.88 <br />$243.88 <br />$243.88 <br />Ori final <br />0.00 <br />0.00 <br />0.00 <br />$0.00 <br />Revised <br />0.00 <br />0.00 <br />0.00 <br />Amended <br />0.00 <br />$0.00 <br />0.00 <br />$0.00 <br />On final <br />0.00 <br />0.00 <br />0.00 <br />$0.00 <br />Revised <br />0.00 <br />0.00 <br />0.00 <br />Amended <br />0.00 <br />0.00 <br />$0.00 <br />$0.00 <br />Original <br />0.00 <br />0.00 <br />0.00 <br />$0.00 <br />Revised <br />0.00 <br />0.00 <br />0.00 <br />Amended <br />0.00 <br />$0.00 <br />0.00 <br />$0.00 <br />Ori final <br />0.00 <br />0.00 <br />0.00 <br />$0.00 <br />Revised <br />0.00 <br />0.00 <br />0.00 <br />Amended <br />0.00 <br />$0.00 <br />0.00 <br />$0.00 <br />Original <br />0.00 <br />0.00 <br />0.00 <br />$0.00 <br />Revised <br />O.OD <br />0.00 <br />0.00 <br />Amended <br />0000 <br />$0.00 <br />$O.OD <br />$0.00 <br />The original contract work days are 0.0 days <br />The contract time change this C.O 0.0 days <br />The contract time change by previous C.O.'s 0.0 days <br />The new contract work days are 0.0 days <br />The original contract sum was <br /> <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 />The new contract net change sum <br />The new contract amendment sum <br /> <br />The new contract sum including this change order will be <br />Percentage of original contract <br />INET CHANGE DUE TO AMENDMENTS <br />Approval by <br />City Engineet <br />DD ate <br />11 CONTRACTOR OFFICE FILE <br />Prime Contractor <br />Date <br />11 PURCHASINGICRO <br />$31,347.48 <br />$0.00 <br />$0.00 <br />$31,347.48 <br />$243.88 <br />$0.00 <br />$243.88 <br />$31,591.36 <br />0.78% <br />0.78% <br />Third Party <br />Date <br />Q:tPROJECTSIPROJ-6\4656 Fire Station 2 Hellpa=onstructio=hange OrdersA656-20091112 Change Order 1.As <br />