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WA9901-CN031113 CITY OF COPPELL CHANGE OR EXTRA WORK ORDER PROJECT: CONTRACTOR: OWNER: CHANGEORDER NO.: Meadowcreek / Rolling Hills Water Line Installation Project # WA 99-01 Site Concrete, Inc. City of Coppell Two (2) DATE: October 31, 2003 Item Description Quantity Unit Unit Price Total ADD: New Sawcut (full depth) 27 LF 3.45 New Concrete Removal 474 SF 1.15 New Concrete Replacement 474 SF 4.60 Total Revision to Contract Amount 93.15 545.10 2,180.40 $2,818.65 Previous contract amount Net increase in contract amount Revised contract amount Net increase in contract time of completion Revised Contract time of completion $353,200.00 $2,818.65 $356,018.65 N/A N/A The contractor hereby accepts this Contract adjustment as a final and complete adjustment in full accord and satisfaction of all past and future liability originating under any clause in the Contract by reason of this revision to the Contract. ReCommended l~y City Engineer Date ApprovegVby City Manager Date Agreed ¥o by Contractor Date