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State fully the nature and reason for the change One street was removed from the project. Other variances due to <br /> Measured quantites differing from planned quanities. <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 /> ❑ 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 :5��� <br /> Highway Commissioner Municipal Officer <br /> C�Y ���a� <br /> -� Title o Municipal Officer <br /> 12/15/04 <br /> Date Date <br /> Approved Recommended Approved <br /> County Engineer D trict Engineer - <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 fortn to District Engineer(4 copies for road district). <br /> If plans are required attach 3 sets. <br /> BLR 6301 (Rev.2/01) <br /> Page 2 of 2 <br />