Change Order Request <br />Date: 41212010 <br />Project: 2010 PPP Storm Rehabilitation Job No: 430529 <br />Eugene Sand CO 3 <br />General Contractor: Eugene Sand- Construction <br />The work covered by this change order shall be performed under the same terms and <br />conditions as included in the original signed contract. <br />Scope of Change: <br />740 E. 13th. Ave. Stone Drain addtion. <br />Description <br />Quantib <br />Unit <br />/Unit <br />Total <br />$0.00 <br />Removal of Catch Basin <br />1 <br />ea <br />$300.000 <br />$300.00 <br />Concrete Curb & Gutter <br />llp KS <br />if <br />$34.000 <br />$340.00 <br />Catch Basin with Bike Proof Grate <br />✓ 1 <br />ea <br />$1,000.000 <br />$1,000.00 <br />Connection to Existing Manhole <br />1 <br />ea <br />$450.000 <br />$450.00 <br />12" PVC Storm Pipe <br />10 <br />If <br />$155.000 <br />$1,550.00 <br />Level 3, 1/2" Dense HMAC <br />✓ 3 <br />ton <br />$130.000 <br />.$390.00 <br />ADDED: Mobilization, 3 mhr. to move job location <br />1 <br />Is <br />$176.00 <br />$176.00 <br />ADDED: Temporary traffic control, set up/remove <br />1 <br />Is <br />$180.00 <br />$180.00 <br />closure <br />$0.00 <br />Subtotal <br />$4,386.00 <br />OH&P <br />Included in above unit prices <br />Total Amount due this Change Order <br />$4,386.00 <br />Increased unit price from $110Af to $155Af. Original contract bid item was based on 461f in one location <br />Prorating this bid item to this 101f change order would only have allowed us 2 hr to install this pipe. The <br />additional amount is based on adding 4.5 m-hrs and 2 truck hours. <br />Changes approved by: <br />Date: <br />Eugene Sand Construction Date: <br />