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Rolling Oaks MC-CN090915!' ® - Document G701 Tit - 2001 Change Order PROJECT (Name and address): CHANGE ORDER NUMBER: 004rev, OWNER: 0 Rolling Oaks Memorial Center DATE: September 15, 2009 ARCHITECT: 400 South Freeport. Parkway Coppell, Texas 75019 CONTRACTOR: TO CONTRACTOR (Name and addrv.vs): ARCHITECT1 PROJECT NUMBER: 04751 FIELD: The Fain Group CONTRACT DATE: April U8, 200$ OTHER: ❑ 825 West Vickery CONTRACT FOR: general Construction Ft. Worth, Texas 76104 THE CONTRACT IS CHANCED AS FOLLOWS; (Include, where apl)licuble, arty undispillee! 011101 all urrrilurrnhle to previously arecuted Cnnstrrrction Change Dirm ices) 1. Adjust Contract Total for remaining contingency as follows: Original Contingency Amount: $ 138 ,888.00 Change Order 001 Amount; 190.00 Change Order 002 Amount: - 16,060.00 Change Order 003 Amount: 7,076 .f)D Remaining Contingency Amount +115,942.00 4 115,942.00, 2. Adjust Contract Amount for Architectural tees incurred for additional services r. 1,500.00> due to handicap ramp modifications required. (Split $3.000.00) The original Contract Sum was $ 2,945,000.00 The net change by previously authorized Change Orders $ 0.00 The Contract Sum prior to this Change Order was $ 2,945,000.00 The Contract Sum will be decreased by this Change Order in the amount of $ 117,442,00 The new Contract Sum including this Change Order will be $ 2,827,558.00 The Contract Time will be unchanged by Tern (0) days. The elate of Substantial ConjAction as ofthe date of this Change Order therefore is NOTE: This Change Order does not include changes in the Contract Sum, Contract Time or Guaranteed Maximum Price which have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER, J. Stuart Todd, Inc. ARCHITECT (Firm nante) 19 Welborn, Dallas, Texas 75219 D Civ saw (Signature) The Fain Group City of Coppell CONTRACTOR (Firrrr name) OWNER. (Firrrr name) 825 West Vickery, Ft. Worth, Texas 255 Parkway Blvd., ('oppell,'1'exas 7610 75019 T!1- ADDRESS BY i pn ii re) BY (Signatrere) Ke Baxter; Senior Project Manager I..arry Frazier; President Clay Phillips; City Manager ('7;r1 ed name) ('7T1 r urn) (Typed ]tang) 1 ,6>44 1(b � °% `N 3o DATE DA E DATE AIA Document 0701 - 2001. Copyright 0 1979, 1987, 2000 and 2001 by The American Institute of Arohitects. All rights reserved. WARNING: This AIA"' Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA" Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 09:14:21 on 0911512009 under Order No.87 66812908_1 which expires on 09103/2010, and is not for resale User Notes: (1800749905)