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SS9901-CS040617COPPELL P.O. Box 9478 255 Pa~way Bird Coppell. TX 75019 Phone:(972)304-3679 Fax:(972)304-3570 ENGINEERING DEPARTMENT FAX COVER SHEET To: George Cisneros From: Rick O'Dell, Project Inspector Fax: 972-735-3001 Date: June 17, 2004 Project No: SS 99-01 Line 'D' Pages: 3 (including cover sheet) C.O. #1 Owner Furnished Re: Material cc: [] Urgent [] For Review [] Please Comment [] Please Reply [] As Requested .Comments: The City does not think that the amounts shown for the 'Owner Furnished Material' accurately reflect what the City paid for these materials. Please review the amounts shown on the attached list and provide an updated estimate. Your consideration of this matter is appreciated. Rick O'Dell 072-304-7090 IF YOU DO NOT RECEIVE ALL OF THE PAGES PLEASE C,4LL (972) 304-3679 "Czty of Coppell Engineering - Excellence By Design" CITY OF COPPELL CHANGE OR EXTRA WORK ORDER PROJECT: Deforest road Lift Station Improvements Force Main Line D CONTRACTOR: Mastec North America, Inc. OWNER: City of Coppell CHANGE ORDER NO.: One ( I ) ITEM DESCRIPTION QUANTITY UNIT UNIT PRICE TOTAL ADD: New Construction Signs 2 EA 675.00 1,350.00 DELETE: Owner Furnished Material ( See attachment ) LS (32,330.70) (32,330.70) Total Revision To Contract Amount (30,980.70) Previous Contract Amount Net Increase (Decrease) In Contract Amount Revised Contract Amount Net increase in contract time of completion Revised Contract time of completion $2,364,835.54 (30,980.70) $2,333,85;4.84 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 by City Engineer Date Accepted by City Date - Agre~-d to ~y Contractor Da{e ¢ DEFOREST ROAD LIFT STATION IMPROVEMENTS FORCE MAIN LINE D OWNER FURNISHED MATERIAL 30" MJ Horizontal Gate Valve 30" X 20" MJ Tee 30" M J-45' Bend 20" MJ Plug 30" Mega Lug 20" MJ Gland 1 EA 22,750.00 1 EA 3,216.86 1 EA 2,589.48 1 EA 350.10 5 EA 644.51 1 EA 201.71 22,750.00 3,216.86 2,589.48 350.10 3,222.55 201.71 TOTAL 32,330.70