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E�ibit D <br /> -A°F�°�`'��. City of Decatur, iilinois <br /> � <br /> " '° #� (��n. K. A��i��nn Pla�a ..r � � <br /> ..�.'�(tiMO�`�,f <br /> Decatur, IL 62523-1196 �-�ange vraer <br /> Date: <br /> Request No. ❑ Final <br /> Professionai <br /> S�rvice <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 origi�al contract $ <br /> Amount t�f previou�change ord�rs $ <br /> Amount of current change order $ <br /> Amourtt of adjusted/final contract $ <br /> ❑ addition <br /> Total net ❑ deduction to date $ which is °r6 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,Ofl0 or more or the time af completion is increased or <br /> decreased by 3fl days of R]OfB, one of ths fo!low�ing statements shal! be checked. <br /> The undersigned determine that the change is germane to the originat contract as signed, because: <br /> ❑ Provision for this work is included in the original corrtract. <br /> ❑ Work of this type was included in the original contract, and the additional efforts of this wark are within the intent of <br /> the contract. <br /> ❑ The chan e represents an ad'ustment required b the cantract, based on unpredictabfe devebpments in the work. <br /> The chan e in desi n is necessa to fulfill the ori inal intent of the Contract. <br /> ❑ O#her: (Explain) <br /> Recommended <br /> Public Works Director Date <br /> Approved Attested <br /> Mayor City Clertc <br /> Date Date <br /> D-1 <br />