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�.✓ CAG-13-088, CO #4-15
CONTRACT CHANGE ORDER NO. #04
or
SUPPLEMENTAL AGREEMENT NO.
AIRPORT Renton Municipal Airport DATE 17-Feb-15
LOCATION Renton,WA AIP PROJECT NO. 3-53-0055-024
CONTRACTOR Gary Merlino CITY OF RENTON
Construction Co., Inc. PROJECT NO. CAG-14-088
You are requested to perform the following described work upon receipt of an approved copy of this
document or as directed by the engineer:
Item Unit
No. Description Unit Price Ouantity Amount
This Change Order Total $0
Previous Chan a Orders Total $(96,618.06)
Revised Contract Total $1,155,947.14
The time provided for completion in the contract is (unchanged) (decreased) (increased)by 60 working
days. This document shall become an amendment to the contract and all provisions of the contract will
apply. Changes are shown on Drawing(s)No. dated , three copies attached.
Recommended by: 201s—
Engi eer Date
Approved by:
Owner Date
A )
Accepted by:
ColAractor Date
Concurred by:
Stat Ae ona i (if applicable) Da
Approved by: S
deral Avi on Administration ate
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NOTE: Change Orders and implemental Agreements require FAA approval prior to construction,
otherwise no Federal participation can be granted. State Aeronautics concurrence is required when
state participation is anticipated.
JUSTIFICATION FOR CHANGE
1. Brief description of the proposed contract change(s) and location(s).
CO#04 is a no-cost, time extension which increases the Contract duration by 60 calendar days, from
106 calendar days, as changed by CO#01, to 166 calendar days.
2. Reason(s) for the change(s) (Continue on reverse if necessary)
CO#04 provides additional time to the Contractor due to Art Work and landscaping changes.
3. Justifications for unit prices or total cost.
Since this change order only adds days to the contract and no additional work, the unit costs are not
affected.
4. The sponsor's share of this cost is available from:
NA
5. If this is a supplemental agreement involving more than $2,000, is the cost estimate based on the
latest wage rate decision? Yes ❑ No ❑ Not Applicable M.
6. Has consent of surety been obtained? Yes ❑ Not Necessary Z.
7. Will this change affect the insurance coverage? Yes ❑ No Z.
8. If yes, will the policies be extended? Yes ❑ No Z.
9. Has this (Change Order) (Supplemental Agreement)been discussed with FAA officials?
Yes ❑ No ® When With Whom
Comment
Submit 4 copies to the FAA
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