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Exhibit D <br /> ,�°4�°`"y,� City of Decatur, Illinois <br /> V p) #1 Gary K. Anderson Plaza <br /> yt�,No� Decatur, �� �Z�z�-��s� Change Order . <br /> Date: <br /> Request No. ❑ Final <br /> Professional <br /> Service <br /> Address: <br /> I recommend that an ❑addition of $ be made to the above contract. <br /> ❑ deduc#ian <br /> I recommend that an�xtension of days be made to#he above cantract campletion date. <br /> The revised compietian date is naw . <br /> Amount of original contract $ � <br /> Amount af previous change orders $ <br /> Amount af current change arder $ <br /> Arnaunt of adjustedlfinal conErac# $ , <br /> ❑ addition <br /> Total net ❑ deduction to date $ which is °lo of Corttt'a�t P�i�e <br /> State ful(y the nature and reasan for the ehange order <br /> When the net increase ar decrease in the cost af the contract is$1 Q,004 or more or the time of compietio»is increased or <br /> decreased by 30 days or more, one ofi the followinq statements shall be checked. , <br /> The undersigned deterrnine that the change is germane#o the arigir�a(contract as signed, becausa; <br /> ❑ Provision for this wark is included in the original contract. <br /> ❑ Work of this fype was included in the ariginal�ontract, and the additional efforts of this work are within the intent of � <br /> the contract. <br /> ❑ The change re resents an ad'ustment re uired b the contract, based an un redictable developments in the work. <br /> ❑ The chan e in desi n is necessa to ful#il(the ori inal in#ent of the Con#ract. <br /> ❑ Other: (Explain} <br /> Recommended ' <br /> Public Works Director Date <br /> Approved Attested <br /> Mayar City Cletk <br /> Date Date <br /> �}-j <br />