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t <br /> ���II'10LS ��t'�1'Y1PJ1t �(1� Request for Approval I, <br /> of Transportafion of Change in Plans ' <br /> Date 12/15/04 Count�r Macon <br /> Contractor Dunn Co. Road District or Municipality Decatur <br /> Address 724 Mercer St. Section 03-00308-00-FP <br /> Decatur, II 62522 Request No. 1 (!►�D <br /> � addition <br /> I recommend that an ❑ extension be made � to the above contract. <br /> ❑ deduction ❑ from <br /> Between Station and Station a net length of <br /> (Do not fill in unless a change in length is involved) <br /> The estimated quantities are shown below and the contractor agrees to furnish the materials and do the work at the <br /> ��, unit prices. Show station location for major items. <br /> � Items Description and Unit Quantity Unit Price Additions Deductions <br /> Nenah R-3305 C.B. Spec F/L 6 1,372.80 8,236.80 <br /> � Flowable Fill 14 69.88 978.32 <br /> � Granular Backfill 13 30.10 391.30 <br /> Pavement Removal 35.6 66.65 2,372.74 <br /> * M.H.TY 4 W/TY 3 F/G 1 1,370.63 1,370.63 <br /> Remove vegetation from brick sts. 8 175.00 1,400.00 <br /> �C Install rip/rap 1 3,000.00 3,000.00 - <br /> Earth Excavation 100 13.13 1,313.00 <br /> Aggregate Base Course 134 5.82 779.88 <br /> Bit Matl Prime Coat[403] 4050 1.06 4,293.00 <br /> Bit Matl. Prime Coat RC-30 667 1.34 893.78 <br /> Mix Crack Joint Flangeways 76.72 102.92 7,896.02 <br /> Bit Suef Rem Butt Joint 37.2 10.20 379.44 <br /> PCC Surf Removal Butt Joint 44.7 10.20 455.94 <br /> Bit Surf Rem 1 1/2" 4111.1 1.52 6,248.87 <br /> Bit Surf Variable Depths 5354.2 1.52 8,138.38 <br /> Valve Box Milling 46 35.24 1,621.04 <br /> C.B./M.H. Milling 9 35.57 320.13 <br /> Comb. Conc. C. 8�G. Rem/Rep 719 49.50 35,590.50 <br /> Paved Shoulder Removal 5" 1114 3.74 4,166.36 <br /> Class D Patches TY 2 5" 1125 38.73 43,571.25 <br /> Class D Patches TY 3 5" 23 47.53 1,093.19 <br /> Class D Patches TY 4 5" 710 39.05 27,725.50 <br /> Class D Patches TY 2 7" 109 61.56 6,710.04 <br /> Class D Patches TY 4 7" 126 43.15 5,436.90 <br /> Aggregatr Shoulders TY A 250.17 24.07 6,021.59 <br /> Totals $111,941.56 ' $68,463.04 ' <br /> Net Chan e <br /> Amount of original contract$ <br /> ❑ addition � <br /> Total net ❑ deduction to date $ which is % of Contract Price <br /> BLR 6301 (Rev.2/01) <br />