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Exhihit D <br /> ���Of�'�:w City of Decatur, liiinais <br /> C <br /> "`''""` #' #1 Gary !�. Anderson Plaza �hange Urder <br /> ���'� Decatur, IL 62523-1196 <br /> Date: <br /> Request No. ❑ Final <br /> Professionai <br /> Senrice <br /> Rddress. <br /> I recommend that an ❑addition of $ be made to Ehe abave cantrac#. <br /> ❑ deduction <br /> I recammend that an extension of days be made to the above contract completion date. <br /> The revised completion date is now . <br /> Amount o€originai contract $ <br /> Amaunt af previous change arders $ <br /> I Amaunt of current change order $ <br /> Amount of adjusted/final contract $ <br /> ❑ addition <br /> Total net ❑ deduction fo date $ which is %of Contract Price <br /> State fu(ly the nature and reason for the change order <br /> When the net increase or decrease in the cost af the contrac#is$10,000 or more ar the time af completion is increased or <br /> decreased by 30 daYs ar more, ane of the fo0owing statements shalf be checked. <br /> The undersigned determine that the change is germane fo the original contract as signed, because: <br /> ❑ Provisian for this work is included in the original contract. <br /> ❑ Wark af this type was included in the ariginai cantract, and#he additional efforts of this wark are within the intent of <br /> the contract. <br /> ❑ The chan e re resents an ad'ustment required b the contract, based on unpredictable develo ments in the work. <br /> ❑ The chan e in desi n is necessa ta fulfill the ori inal intent of the Contract. <br /> ❑ Qther; (Explain) <br /> Recommended <br /> Public Works Director Qate <br /> Approved At#ested <br /> Mayor City Clerk <br /> Date Date <br /> �-� <br />