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ST9905-CN070628 CITY OF COPPELL CHANGE OR EXTRA WORK ORDER PROJECT: Bethel Road I Project # ST 99-05 CONTRACTOR: Tiseo Paving Company OWNER: City of Coppell CHANGE ORDER NO.: Three (3) DATE: June 28, 2007 Description Quantity Unit Total Unit Price Line Lowering of 16" RCCP: Add: 1. 16" RCCP spoil ends & manuf. services Freeport & Bethel 1 LS 2. Crew Time (5-6 hrs) 1 1 LS LS 3. Extra Equipment Compressor, Pumps & Shoring 4. Subs Profit/Overhead 5. Tiseo Profit/Overhead 1 1 LS LS 3,500 $3,500.00 2,500 $2,500.00 1,200 $1,200.00 600 $600.00 792 $780.00 Total Revision to Contract Amount Change Order #3 $8,580.00 Original contract amount Net increase in contract amount Change Order #1 Net increase in contract amount Change Order #2 Net increase in contract amount Change Order #3 Revised contract amount Net increase in contract time of completion Revised Contract time of completion $7,293,659.00 o $8,000.00 $8,580.00 $7,310,239.00 3 573 Calendar Days Page 1 of 2 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. -~}7 Date ~~~ Agreed to y TIseo Pavmg Company Date Page 2 of 2