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<br />~ ~ C TRACT CHANGE ORDER
<br />r ~~.r' ~ tirr~;~~t Page 1~ ~ - ~ ( f j _ NOTICE: THIS FORD UST ~E TYPE ITTEN
<br />_ - am_ ~rti. ~S ~.l i~~r` {+~~"li ~ EC~IC C~~ i ~ C
<br />I-: Bridge Vertical Clear Improve ~LinnlLne Co} 2 X4121 - ~ ~~~1~~~ CSC t ~.=~~~:~GiE f~DO~' LIAISO cif l~ is non-0DOT) r~.~. ~.~~:1~.-~ hid. '
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<br />it is r i Co, o Ii i rs
<br />• ox 1 1 Street, i 1 _ e, 1 e, l 9
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<br />C~iiS ~i~~ F ~ : ~ i5 r,CB i►i~L>Ill~llr=l~ N ~~LC~
<br />evil v et secti the s r a Jr. Line " T 1 T 1 + , ii of -inc f Lev 3 1l " e isin re r e isi s t c o t i.
<br />c 1 far revise r i s, s is 2, - , ,
<br />_ _ _ ~~~E~i~iv~►i'~~~~ ~'i~~ r~lr~'~`iiOirIS - i rE v~uRl~ r ~t ~C~IVE t~irlDE THiS ® I TO 0 U E I F
<br />ACCO A C I T T S T E T ACT XC IIE LL S-
<br />All shall one r the reject s ecification n cial revisions. Excavation will be measured Inspector in the field t i a of , an aid
<br />cubic yard.
<br />Finish a er s ecifiction fi10.0
<br />ac et 1 for revise r in sheets.
<br />u
<br />PAY ITE ~ ' DESC PTIO SST. QTY, Uh~T UNIT PRICE A OUNT _
<br />4002 20 ~,dd{. for extra lane shi s 1.00 L .1.,.20 .DO 1,200.
<br />a _
<br />a 4 2 020 S a I 8.0 $135.00 1.0 0.00 K _ W
<br />m C. .
<br />2C 020 Exc vatio c xistin Asphalt an s oc 1 OA CY 0.0 ~~n inn _ _ - -,~u~..
<br />ii I i lis c T 9,10 .00
<br />_ _
<br />C~i~~~~~~~T ET COST FFECT F THIS AG E E T 0 THE CO T ACT; I ESE ~ ,
<br />DECREASE $22,18~.OQ _ ,
<br />~;~iv f. _ TO siC ru E t_~ I E ~ I I T )
<br />SIG T E THIS T ACT C .GF (7RFR A ~I IP, i ~-E~AFNTAI y. r ~ e4 r~ ~r~l~l=h~~n~T j
<br />ui~ ~i~i~i~L~~i~IVTAL A~I=~ C]NLY: Conlrador. Please indicate yn~rr agreement by signing, dalang and returning the original to the Project Manager. Work shall not begin until you are
<br />noGried that the agreement has sither been approved or that work may commence under advance approval. Your signature further indicates agreement that payments in accordance with the
<br />agreement constitute full and complete compensation for all costs, both
<br />iirect and indirect, arising out of the described work covered by this agreement, and releases and discharges the 51ate from other costs ex as provided herein. - -
<br />~~i~~~~~~~ii~~~~~~ ~f ~aI~1~~~.l~~~- ~ 9_~r;, i i~ ~~~~i~~~i t ~<<~ t~k r - r ~ f ' ~ r RECO EDE I, PPROVE DATE print ~ , ~ , r~ ~ f . I ,
<br />a r - h
<br />g Sr _ 4 a +s'.. -
<br />i€~Cp ENDED Y L®CAL AGE CY ATE ~R AAGE NOTED EC®M ENDED APf'R®VED DATE Print Print ~ t ~ t ,
<br />a ® _ ~ E ~ ~ ; . 4 a.
<br />~ . . r Slgn ` ~ a" ~ ~ P. _ r - a
<br />~ ~ , r ~ i~ ~ECOINMENDE' BY S LTA AGEt~ M _ DATE ~F~~i~~ti&~i-~ ~~-1t_ ~ Cz:~~w`,' : ~f-~ ~ ~ ~
<br />Pnnt r ! i~
<br />Sign r ~ ~ ® - ~ ' p
<br />~i.1'r ~I If~l J ~ .ICI I f ii;~ Pr~i ~ I f .I ;._L~~~ „!I.I,~I~. k.k Il:, `.14. ~c.l ii ii vt.~,:~' rl . ~ - ~~kl~ ' ~~o k ~ ' u rs;~u~e~L~'~f t,m4f6:a4i1a0.ylyY~ 4dL:~,ia~
<br />DOT ~Outsourcedy: After abta sting Contractor's signature, the Project Manager su6rnits anginal to aDC~T CPM or Local Agency Liaison, as appropriate, wha then submits through the Area
<br />Manager ~ C€~nstruction.
<br />,~Il F'r~e~:~:, ~ ~1~~~ ~ ,.~i~ Ir~i ~ilw ~tJi~~~ ,!;'lli l I I1;~ . ~ i ~~l'~, I, ,d~P~r~, ~i~~'r]'e~'P ~ i';~ - --~w._.W - ,t ?'~4.a ~ fig ~5-2008 Contractor: Sign all pages.
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