SS9901-CN040618
r CITY OF COPPELL
CHANGE OR EXTRA WORK ORDER
PROJECT: Deforest Road Lift Station hnprovements Force Main Line D
CONTRACTOR: MasTec North America, Inc.
OWNER: City ofCoppell
CHANGE ORDER NO.:
One (1)
DATE: 6/11/04
Item
Description
Quantity Unit Unit Price
Total
ADD:
New
Construction signs
2
EA
675.00
1,350.00
Total Revision to Contract Amount
1,350.00
Previous contract amount
$2,364,835.54
$1,350.00
$2,366,185.54
N/A
N/A
r
Net increase in contract amount
Revised contract amount
Net increase in contract time of completion
Revised Contract time of completion
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 ofthis revision to the Contract.
X r-P JJ (,. n. 4-
Reco~e:de~ty Engineer Date
Date
r-
Q :j}~2.!II1A
Agreed to by Contractor Date I (