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.+ <br /> •State.`�;Ily th� nature and reason for the change Bituminous surface was greater that 2-1/2" , ��'i.,j U,�.s •� <br /> • '�'(�w��v"�- L X I S�/n T�,w d� t • ¢ �,- <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 determine that the circumstances which necessitate this change were not reasonably <br /> foreseeabte at the time the contract was signed. <br /> ❑ The undersigned determine that the circumstances which necessitate this change were not within the <br /> contemplation of the contract as signed. <br /> � The undersigned determine that this change is in the best interest of the local agency and is authorized by law. <br /> Signed Signed i� i�C�� <br /> Highway Commissioner � Municipal Officer <br /> ?�Ctr�/L u N�j lJi—�Q� <br /> Title of Municipal fficer <br /> �-� �g_ -,�`' <br /> Date Date <br /> Approved Recommended Approved �,�y. <br /> County Engineer � District Engineer <br /> �/�/� <br /> Date Date <br /> Note Make out separate form for change in length quantities. <br /> Give net quantities only. <br /> Submit 3 copies of this form to District Engineer(4 copies for road district). <br /> If plans are required attach 3 sets. <br />