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Public Works Department
CONTRACT CHANGE ORDER AGREEMENT
CONTRACT: CAG 12-106 Sanitary Sewer Rehabilitation 2012 and C.O.# 1
Lake Washington Blvd Pipe Rehabilitation
CONTRACTOR: Insituform Technologies, Inc.
SUMMARY OF PROPOSED CHANGE:
Provide all labor, equipment, subcontracting, bonding, insurance for the complete work required for the extra
work performed in 2012 calendar year as outlined below:
ITEM Additional Quantities Under This Change Order Unit Quantity Unit Price Total Price
SCHEDULE A
Al2. NEW ITEM:Additional TV Inspection for Dye Testing (work performed in 2012) LS 1 $998.23 $998.25
(Insituform Technologies, Inc. Request for Change Order#2)
SCHEDULE B
B09. NEW ITEM: Replace failed 12"Culvert(work performed in 2012) LS 1 $54,374.69 $54,374.69
(Insituform Technologies, Inc. Request for Change Order for Culvert
No.2 Repair)
Sub Total Schedule A $998.25
Sales Tax (9.5%) $94.83
Total Schedule A $1,093.08
Sub Total Schedule B $54,374.69
Total Schedule A&B $55,467.77
ORIGINAL CONTRACT CURRENT CONTRACT ESTIMATED NET CHANGE ESTIMATED CONTRACT TOTAL
AMOUNT AMOUNT THIS ORDER AFTER CHANGE
$247,327.03 $247,327.03 $55,467.77 $302,794.80
SIGNATURES: /
Contractor: �Pmwl L° a 4r441.0 Date: Z SP 3
Project Engineer: Date:
Approved By: Date:
(Utilities System Di ctor)
H:FileSys\WWP-Wastewater\WWP-27-3624&SWP-27-3618\CO-1-Sanitary Sewer Rehab 2012 and Lk Wash Pipe Rehab/JDH