Laserfiche WebLink
Amount of original Contract' $ 1,415,677.72 <br /> � Amount of previously adjusted contract $ 1,420,832.32 <br /> Amount of adjusted/final contract $ 1,294,202.46 � <br /> ❑ addition <br /> Total net � deduction to date $ $121,475.26 which is 8.55 %of Contract Price <br /> State fully the nature and reason for the change See Attached Sheet � <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 law. <br /> Signed Signed � �'`� �� <br /> Highway Commissioner Municipal Officer <br /> /' �� � <br /> c l 7 c� C- ��' �-�T <br /> TiUe of Municipal Officer <br /> Z — G — c� � <br /> Date Date <br /> Approved Recommended Approved <br /> County Engineer egi al Engineer <br /> � /r"(/ <br /> ( � <br /> Date Date <br /> Note Make out separate form for change in length quantities. <br /> Give net quantides only. <br /> Submit 3 copies of this fortn to Regional Engineer(4 copies for road district). <br /> If plans are required attach 3 sets. <br /> Page 2 of 2 BLR 13210(Rev.7/05) <br /> Printed?J3/2006 4:1034 PM <br /> • <br />