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ST0202-CN040921 CITY OF COPPELL CHANGE OR EXTRA WORK ORDER PROJECT: CONTRACTOR: OWNER: CHANGE ORDER NO.: Bethel School Road Project # ST 02-02 Tiseo Paving Company City of Coppeli TWO (2) DATE: September 21, 2004 ADD: Item Description Quantity Unit New Relocation of Existing 1 LS Pullbox from Street to BC Unit Price 2,975 Total $2,975.0O Total Revision to Contract Amount $2,975.00 Original contract amount Net increase in contract mount Chg. Ord.#1 Revised contract amount Net increase in contract amount Chg. Ord #2 Revised contract amount Net increase in contract time of completion Revised Contract time of completion $297,813.35 $1,340.00 $299,153.35 $2,975.00 $302,128.35 75 Calendar Days 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. Recommende~l b~'City Engineer Date AccT~'City Manager Date Date