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Public Works Department
CHANGE ORDER NO. 10
CONTRACT CHANGE ORDER AGREEMENT
CONTRACT: South Lake WA Roadway Improvements (Garden Ave. Widening)
CONTRACTOR: ICON Materials
DATE: February 19, 2013
SUMMARY OF PROPOSED CHANGE:
CAG -12 -021
C.O. #10
Page 1 of 1
Reason /Justification: The original design included in the Contract Plans did not specify a steel pole for luminaire pole #14. It was
determined through review of the shop drawings a steel pole is warranted for this location. This change order establishes payment
under lumps sum for the Contractor to install a steel pole at this location rather than an aluminum pole to support signal equipment. See
approved shop drawing transmittal #00063 and RAM #181 dated January 18, 2013. The pole shall be painted black.
Contract Change: This work is to be performed on a lump sum basis. The bid item reflects the difference in cost between an aluminum
pole and steel pole including labor and equipment. There was no additional cost or credit from the supplier to change the type of material
therefore no material cost will be included in this change order. Two additional working days are requested to complete this work.
Add the following bid items and quantities to the schedule of prices
Item No.
Approx
Qty
1
Units
Description
Unit Price
Amount
109A
1
LS
Steel Pole Luminaire #14
$752.26
$752.26
Washington State Sales Tax (9.5 %):
Total this Change Order (Subtotal Plus Sales Tax):
2 Additional Working Days are Granted to complete this work
All work, materials and measurement to be in accordance with the provisions of the Standard Specifications
and Special Provisions for the type of construction involved.
$71.46
$823.72
ORIGINAL CONTRACT CURRENT CONTRAC
AMOUNT AMOUNT
ESTIMATE NET CHANGE
THIS ORDER
ESTIMATED CONTRACT
TOTAL AFTER CHANGE
$1,968,690.65
$1,995,318.37
$823.72
$1,996,142.09
SIGNATURES:
Contractor: � �' � to
Date:
Project Manager: / Date:
l-�;
(Transportation Design Supervisor)