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COR FormContractor
(This form is to be executed in triplicate and each party is to retain an original.)
Project Name: RENTON SENIOR HOUSING Date: December 18, 1992
Project Address: 3151 NE 18th Street Change Order No.: Thirty-one (31)
Conlractor Name: KIRTLEY-COLE ASSOCIATES ORB Project No.: 9007
& Address 1002 - 101h Street COR Project No.: CAG 095-91
Snohomish, Washington 98290 Contract For. General Construction
Contract Date: October 31, 1991
The Contract is hereby amended as follows:
1. Per ORB Proposal Request 957, 9118192, and Kirtley-Cale Modification Proposal
#10BR, 1218192 (copies attached): 'Relocate (1) street light to location specified Add 5,853,55
by Owner's Rep.'
2. Per Kirtley-Cole Modification Proposal #115, 1218192 (copy attached): Add , 32$44
'Relocate magentic hold -opens at West Wing.'
TOTAL CONSTRUCTION COST IMPACT OF THIS CHANGE ORDER:......................................Add $1,181.99
The Change Order shall include all Contractor(s) labor, material, overhead, profit, and all direct and/or indirect costs associated
i tl with the Change in Scope of Work.
i This Change Order is not valid unless signed by the Owner, Architect, and Contractor.
- :
The Original Contract Sum was........................................................................................................................$4,620,765.00... 665.940.25
Net :.barge by previously authorized Change Order(s) was .........................................,...........,.......,.....,....
The Contract Sum prior to this Change Order was ...................................... ........................................................ 286,705.25
5'... 1,181.99
The Contract Sum will be revised by this Change Order in the amount of ................. ........................................28787.24
..........................
The new Contract Sum incorporating this Change Order will be.............................................................................,...5,287,8days
The Contract Time will be changed by ....... _ .................................................................. ' ry
.
The Substantial Completion Date including this Change Order is ........................................ ...... I ......... ........ Janus 27 19
93
(See Change Orders #12, 18 & 19 for TBD tems.
NOTE: The above summary does not include any changes in the Contract Sum or Contract Time which have been approved
by ORB Form 301 - Construction Change Directive or Owner's Field Directives.
THE ORB ORGANIZATION, INC. KIRTLEY-COLE ASSOCIATES CITY OF Renue So t b R DEPT.
807 SW rady Way, Suite 210 1002 -10th Street 200 Mill Avenue South
Rento , aihington 98055 Snohomish Washington 98290 Renton. Washington £n�755
o P. a rlliam, AIA Gordon Cola Vincent Lee
3 /9
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