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WA0301-CN050829PROJECT: CONTRACTOR: OWNER: CHANGE ORDER NO.: One (1) CITY OF COPPELL CHANGE OR EXTRA WORK ORDER Loch Lane Water Line Installation # WA 03-01 Fox Contractors City of Coppell DATE: 8/23/05 DELETE: ADD: Item Description Quantity Unit Unit Price Total I-5 N. Fire Hydrant Assembly (1) LS 3,900.00 (3,900.00) I-7 Reconnect Existing Services (9) EA 250.00 (2,250.00) I-8 Rep/Connect Short Services (1) EA 575.00 (575.00) 1-10 Rem/Replace Concrete Sidewalk (32) SF 5.75 (184.00) 1-14 Aband 2" WE (1) LS 1,500.00 (1,500.00) 1-4 S. Fire Hydrant Assembly 1 LS 3,000.00 3,000.00 I-7 Rep/Connect Long Services I EA 600.00 600.00 l-I 1 Rem/Repl Concrete Drive Way 17.5 SY 120.00 2,100.00 I-12 Rem/Repl Asphalt Paving 27 SY 110.00 2,970.00 Total Revision to Contract Amount $261.00 Previous contract amount Net increase in contract amount Revised contract amount Net increase in contract time of completion Revised Contract time of completion $58,391.00 $261.00 $58,652.00 N/A N/A The contractor hereby accepts this Contract adjustment as a final and complete adjustment in full accord and satisfaction of ail past and future liability originating under any clause in the Contract by reason of this revision to the Contract. R~omme.~d ~y ~ity Engineer Ac~d by City Manager Date Date ~ .~/f~ / Agr'~ed to by Contract~'r ~ Date