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C; Y cIr <br /> - <br /> Illinois Department <br /> of Transportation Request for Approval of Change of Plans <br /> Local Public Agency County Route Section Number <br /> City of Decatur MaconIL 19-00934-00-BR <br /> Request Number Contractor <br /> 1 ❑ Final IC-Hill Civil Contractors, Inc <br /> Address Cit State Zip Code <br /> 14 Dean St Campbell IL 62916 <br /> Date <br /> 07/08/24 <br /> 1 recommend that this Addition be made to the above contract. <br /> The estimated quantities are shown below and the contractor agrees to furnish the materials and do the work at the unit prices. <br /> Unit of Addition(A) <br /> Item Description Measure Quantity Unit Price or Deduction Total Addition Total Deduction <br /> (D) <br /> Probing for Debris L Sum 1 $11,038.16(4 A $11,038.1600 $0.0000 <br /> Drilling Obstructions Hour 60 $1,050.0000 A $63,000.0000 $0.0000 <br /> - $0.0000 $0.0000 <br /> - $0.0000 $0.0000 <br /> $0.0000 $0.0000 <br /> $0.0000 $0.0000 <br /> - $0.0000 $0.0000 <br /> $0.0000 $0.0000 <br /> Total Changes $74,038.16 $0.00 <br /> Add Row <br /> Total Net Change $74,038.16 <br /> Amount of Original Contract 1, 2y5 5-5s"90 <br /> Amount of Previous Change Orders $0.00 <br /> Amount of adjusted/final contract , 3 1 cj S-T3• 0 / <br /> Total net addition to date $74,038.16 which is 5.94% of the contract price. <br /> State fully the nature and reason for the change <br /> Obstruction removal at permanent casing locations <br /> When the net increase or decrease in the cost of the contract is$10,000.00 or more,or the time of completion is increased or decreased <br /> by 30 days or more, one of the following statements must be checked: <br /> ❑ The Local Public Agency has determined that the circumstances which necessitate this change were not reasonably <br /> foreseeable at the time the contract was signed. <br /> ® The Local Public Agency has determined that the change is germane to the original contract as signed. <br /> ❑ The Local Public Agency has determined that this change is in the best interest of the Local Public Agency and is <br /> authorized by law. <br /> Completed 07/10/24 Page 1 of 2 BLR 13210(Rev. 10/20/23) <br />