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- �ituminous Concrete Surface Course,Superpave, Mix"C", 391.63 $57.95 22694.96 <br /> Bituminous Concrete SurFace Course,Superpave, Mix"D", 2090.26 $60.95 127401.35 <br /> � Leveling Binder(Machine Method)Superpave N50 46.67 $62.50 2916.88 <br /> Class D Patches,Type II, 5 Inch, Special 54.9 $55.40 3041.46 <br /> Class D Patches,Type III,5 Inch, Special 100.0 $54.30 5430.00 <br /> Dowel Bars 757.0 $12.45 9424.65 <br /> Tie Bars 719.0 $10.35 7441.65 <br /> Totals $126,155.16 $345,482.40 <br /> Net Change - 219327.24 <br /> Amount of original contract $ 2,044548.20 ' <br /> Amount of previously adjusted contract $ 2,048,803.89 � <br /> Amount of adjusted/final contract $ 1,829,476.65 � <br /> ❑ addition / <br /> Total net X deduction to date $ 215,071.55.� which is 10.52 %of Contract Price <br /> State fully the nature and reason for the change <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 has determined that the circumstances which necessitate this change were not reasonably <br /> foreseeable at the time the contract was signed. <br /> ❑ The undersigned has determined that the change is germane to the original contract as signed. <br /> X The undersigned has determined that this change is in the best interest of the local agency and is authorized by law. <br /> Signed Signed �j�� <br /> Highway Commissioner Municipal Officer <br /> ��'�y ��-ce,�t.�.— <br /> Title f Municipal Officer <br /> iZ--z � - vC� <br /> Cata Date <br /> Approved Recommended Approved !�/�- <br /> County Engineer Regional Engineer <br /> i/3/e � <br /> Date ate <br /> Note Make out separate form for change in length quantities. <br /> Give net quantities only. <br /> Submit 3 copies of this form to Regional Engineer(4 copies for road district). <br /> If plans are required attach 3 sets. <br /> Page of 2 BLR 13210(Rev.7/0� <br /> Printed 12/26/2006 2:00:10 PM <br />