ST9502-CN 960322PROJECT:
CONTRACTOR:
OWNER:
CHANGE ORDER NO.:
CITY OF COPPELL
CHANGE OR EXTRA WORK ORDER
DELETE:
ADD:
Item
1
2
4
Town Center Drive & Town Center Blvd. / ST 95-02
Site Concrete, Inc
City of Coppell
1
DATE: March 22,
CHANGE OR EXTRA WORK TO BE DONE
1996
Description Quantity Unit Unit Total
Price
8" SS Pipe 260 LF 14.75 ($3,835.00)
4' Dia. Manhole 1 EA 1,250.00 $1,250.00
8" D.I. SS Pipe 10 LF 46.50 $465.00
10" SS Pipe 250 LF 20.25 $5,062.50
Total Revision to Contract Amount $2,942.50
Previous contract amount
Net increase in contract amotmt
Revised contract amount
Net increase in contract time of completion
Revised Contract time of completion
$ 444,214.25
$ 2,942.50
$447,156.75
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.
R~~.~d~.......,e~,~~e ~ity Engineer:
~Accep d by the Owner:
Date: ,~' AS. ~ b
Date: