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;°'�°`��„ City of Decatur, Illinois <br /> " ' #1 Gary K. Anderson Plaza Change Order <br /> .,«�� Decatur, IL 62523-1196 <br /> Date: Dec. 7, 2015 Project: Manhole Inspection Services <br /> Request No. 1 ❑ Final Project Number: 2014-16 <br /> Consulting <br /> Engineer: TeleScan, Inc. <br /> Address: 6275 East Route 36 <br /> Decatur, IL 62521 <br /> I recommend that an ❑ addition of $ be made to the above contract. <br /> ❑ deduction <br /> I recommend that an extension of 182 days be made to the above contract completion date. <br /> The revised completion date is now July 1, 2016 . <br /> Amount of original contract $ 200,000 <br /> Amount of previous change orders $ 0 <br /> Amount of current change order $ 0 <br /> Amount of adjusted/final contract $ 200,000 <br /> ❑ addition <br /> Total net ❑ deduction to date � which is % of Contract Price <br /> State fully the nature and reason for the change order Early project delays due to the preparation of GIS data entry <br /> software set the project back approximately 6 months. <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 undersi ned determine that the chan e is ermane to the ori inal contract as si ned, because: <br /> ❑ Provision for this work is included in the original contract. <br /> � 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 /> ❑ The change represents an adjustment required by the contract, based on unpredictable developments in the work. <br /> ❑ The chan e in desi n is necessa to fulfill the ori inal intent of the Contract. <br /> ❑ Other: (Explain) <br /> Recommended l:� ��'� �� a"��s <br /> ublic Works Director Date <br /> � <br /> Approved � � l Attested •;u i,,�� <br /> ayor City Clerk <br /> / ' �-J) � ;�1�-�-�Q)��Lr.PJL � �0 l�J <br /> Date Date <br /> Page 1 of 1 <br />