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E�ibit D <br /> 44`�ff City of Decatur, fiiinais <br /> � 9� <br /> � " #1 Gary K. Anderson Plaza <br /> �tINOY Decatur, lL 62523-1196 Change Order <br /> I Date: <br /> Request No. ❑ Finai <br /> Pro#essionaf <br /> Service <br /> Addr�ss: <br /> i recommend that an ❑addition af $ be made to the abave contract. <br /> ❑ deduction <br /> i recammend that an extension of days be made to#he abave cantract cornpletion date. <br /> The revised corr►pletion date is now . <br /> Amount of origina!contract $ <br /> Amount of previaus change c�rders $ <br /> Atnount of current change order $ <br /> Amnunt of adjusted/fnal contract $ <br /> ❑ addition <br /> Totat net ❑ deduction to date $ which is %af Gontract Price <br /> State fully the nature and reason far the change order <br /> When the net increase or deerease in the cast of#he contract is$10,C10d or more or#he time of completion is increased or <br /> decreased by 30 daYs ar rnore,ane ofi the foflowinq statements shali be checked. <br /> The undersigned determine thafi the change is germane#o,tt�e original contract as signed, because: <br /> ❑ Provision for this work is included in the originat contract: <br /> ❑ Work of this type was included in the original contract, and the additional efforts of this work are within#he in#ent of <br /> the contract. <br /> ❑ The change represents an ad`ustment_requi�ed by the corrtract, based c�n un redic#ab#e developments in the wark. <br /> ❑ The chan e ir�desi n is necessa ta ful�itl the ori inai intent ofi#he Contract. <br /> ❑ O#her: (Explain} <br /> Recommended <br /> Public Wo►ks Director Date <br /> Approved Attested <br /> Mayor City Gerk <br /> Date pate <br /> �-� <br />