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*:R Change Order # 013
Contract Number: CAG-11-192 Federal Aid Number: STPUL-CM0167(048)
Contract Title: Rainier Ave S(SR 167)—S Grady Way to S 2nd St
Change Order Number: 013
Prime Contractor: Johansen Excavating, Inc.
_X_ Ordered by Engineer under the terms of Section 1-04.4 of the Standard Specifications
Change proposed by Contractor
Endorsed by Surety Consent
Contractor Attorney on Fact
//— -2p !2
Date Date
Original Contract Amount: $16,032,772.44
Current Contract Amount: $ 16,346,928.67
Estimated Net Change This Order: <$1,056.88>
Estimated Contract Total After Change: $16,345,871.79
ZApproval Recommended ❑Approval Recommended
sident Engineer
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Dai e Date
Approval ecommended 94�11 ed
'Aat ��
City of Renton— Derek Akesson,PE ity of en n—Ro son,PE
1(116/I L Transportation Systems Division
Date Representing
You are ordered to perform the following described work upon receipt of an approved copy of the change order.
Page 1 of 1
\\10.21.6.1\data\Rainier Ave File Structure\700 Construction Admin-Project Control\715 Change Orders\715.2 Individual Change Orders\715.2.003 Change Order 003\CO 003a
Change Order Cover.docx
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a Change Order 013
Contract Number: CAG-11-192
Federal Aid#:STPUL-CM0167(048)
Date 11/1/2012
Page 2 of 2
THE CONTRACT IS MODIFIED AS FOLLOWS:
This Change Order provides an adjustment to the"Estimated Contract Total After Change".The adjustment is based on the
omitted tax that should have been applied to Change Order 3,which was executed on July 11, 2012.
Change Order 003 total credit=<$11,125.00>
Washington State Tax @ 9.5%= <$ 1,056.88>
Total Adjustment to the"Estimated Contract Total After Change"is a CREDIT of 51.056.88