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Exhibit D <br /> �°`�°f`' City of Decatur, Illinois <br /> �w yG t <br /> " � #1 Gary K. Anderson Plaza <br /> �'�� �`� Decatur, IL 62523-1196 �hange �rder <br /> -t���o,s; <br /> Date: <br /> Request No. ❑ Final <br /> Cansuiting <br /> Engineer: <br /> Address: <br /> I reeommend that an ❑ addition of $ be made to the above contract. <br /> ❑ deduction <br /> I recommend that an extension of days be made to the above contract cornpletion date. <br /> The revised compEetion date is now . <br /> Amount o#original cantract $ <br /> Amount af previous change orders $ <br /> Amount of current change arder $ <br /> Amount af adjusted/final cantract $ <br /> ❑ addition <br /> Total net ❑ deduction to date $ which is %of Cantract Price <br /> State fuHy the nature and reasan far the change order <br /> When the net increase or decrease in the cost of the contract is$10,000 or more or the time of completion is increased or <br /> decreased by 30 days or more, one of the follawing statements shail be checked. <br /> The undersigned determine that the change is germane to the original contract as signed, because: <br /> ❑ Provision for this work is included in the original contract. <br /> ❑ Work of this type was included in the ariginal contract, and the additianal efforts of this work are within the intent af <br /> the contract. <br /> ❑ The change represents an adjustment required b the contract, based on un redictable develapments in#he work. <br /> ❑ The chan e in desi n is necessar to fuifill#he ori inal intent of the Contract. <br /> ❑ Other: (Expla'sn} <br /> Recommended <br /> Public Warks Directar Date <br /> Approved Attested <br /> Mayor City Clerk <br /> Date Date <br /> D-1 <br />