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Items Descri tion and Unit Quanti Unit Price Additions Deductions ' <br /> Su er ave, Mix D N50 Bit. Conc. Surf. 702.25 47.90 33637.80 <br /> � Catch Basin Ad'ust 17"X 22" 2.00 122.00 244.00 <br /> Catch Basin Ad'ust 17"X 3,0" 2.00 148.40 296.85 <br /> Catch Basin Ad'ust 97"X 28'/Z" 1.00 148.40 148.40 <br /> Inlet, T e A S ecial 1.00 1086.75 �8�s— O� . � <br /> Storm Sewer, Class B, T e 1, 12 I nch 26.00 39.10 1016.60 <br /> Crack Cleanin S ecial 2.00 650.00 1300.00 <br /> Controlled Low-Stren th Material 47.00 135.00 6345.00 <br /> Totals �66699-58— --49�"2d-@+".r' <br /> • Net Chan e -4�6�f'r.�@�— I <br /> I�' S,�/-�b l.3��g•5 / I�I <br /> Amount of original contract$ 1,594,407.54 js-rj��Zo�� �� <br /> ❑ addition <br /> Total net �deduction to date $ ��9�"' 2�7 5 3 2• 0� which is �— %of Contract Price <br /> � / <br /> .�N.�a� �� �5�", N�r �s� o� �`1't o�/ = �► Sd 6� ��i�'. ¢7 Page61 of 2Rev.2/01) <br /> State fully the natu�e and reason for the change Please see the attached sheets for the changes and reasons <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 <br /> law. <br /> Signed Signed � �L=�/"" <br /> Highway Commissioner � Municipal O�cer <br /> City Engineer, City of Decatur, Illinois <br /> Title of Municipal Officer <br /> //-28—d` <br /> pate Date <br /> Approved Recommended Approved <br /> County Engineer istrict Engineer <br /> Date Date <br /> Note Make out separate form for change in length quantities. <br /> Give net quantities only. <br /> Submit 3 copies of this form to District Engineer(4 copies for road district). <br /> If plans are required attach 3 sets. <br />