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SS9901-CN040921 CITY OF COPPELL CHANGE OR EXTRA WORK ORDER PROJECT: CONTRACTOR: OWNER: CHANGE ORDER NO.: Deforest Road Lift Station Improvements Force Main Line D MasTec North America, Inc. City of Coppell Three (3) DATE: 9/16/04 Add: Add: Item Description Quantity Unit Unit Price Access Pit 1 LS 5,200 Inclusive of all Sod and restoration to preconstruction condition Seismograph Report .50 LS 1,414 Total Revision to Contract Amount Total 5,200.00 707.00 $5,907.00 Previous contract amount Net increase in contract amount Change Order #1 Revised contract amount Net decrease in contract amount Change Order #2 Revised contract amount Net Increase in contract amount Change Order #3 Revised contract amount Net increase in contract time of completion Revised Contract time of completion $2,364,835.54 $1,350.00 $2,366,185.54 ($32,330.70) $2,333,854.84 $5,907.00 $2,339,761.84 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 ret~sion to the Contract. Re ity Engineer Date A'~cc ~pted"~y City Date D~.te -- · .'M a sTe c September 21, 2004 Kenneth M. Griffin, P.E. Director of Engineering/Public Works City of Coppell 255 Parkway Blvd. Coppell, Texas 75019 Re: DeForest Rd. Lift Station Improvements Force Main Line "D" Project # SS 99-01 Change Order # 3 Dear Mr. Griffm: Pursuant to your request we are enclosing herewith two executed copies of Change Order # 3 for the referenced project. Resp~,y'~bmitted, '~~ole Chief Estimator MasTec North America, Inc. 4747 Irving Blvd. Suite 221 Dallas, Texas 75247 · 214.571.2500 fax214.571.2555 vwvw.mastec.com