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Exhibit D <br /> City of Decatur, Illinois <br /> #1 Gary K. Anderson Plaza Change Order <br /> Decatur, IL 62523-1196 <br /> Date: _ <br /> Request No. v —❑ Final <br /> Professional <br /> Service <br /> Address: <br /> I recommend 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 completion date. <br /> The revised completion date is now <br /> Amount of original contract $ <br /> Amount of previous change orders $ <br /> Amount of current change order $ <br /> ^mount of adjusted/final contract $ _— <br /> E] addition <br /> Total net 0 deduction to date $ which is % of Contract Price <br /> State fully the nature and reason for 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 following statements shall be checked. <br /> The undersigned determine that the change is germane to the original contract as signed, because: <br /> iProvision for this work is included in the original contract. <br /> El Work of this type was included in the original contract, and the additional efforts of this work are within the intent of <br /> the contract_ <br /> E] The change represents an adjustment required by the contract, based on unpredictable developments in the work. <br /> The change in design is necessary to fulfill the original intent of the Contract. <br /> ] Other: (Explain) <br /> Recommended <br /> Public Works Director Date <br /> Approved _ __ Attested <br /> City Manager if under$20,000,Mayor if over$20,000 City Clerk <br /> -- --- <br /> Date ------ Date — — <br /> D-1 <br />