ST9905-CN070921
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.:
Four (4)
DATE:
September 21, 2007
Item Description
Quantity Unit
Unit
Price
Total
ADD:
1.
2.
3.
4.
Changes to Storm Drain Line D:
Additional Staking
Connect RCP to Box Culvert
Restocking Fee for unused RCP
Remove Existing 16" Valve
Total Revision to Contract Amount
4 EA 250.00 $1,000.00
4 EA 800.00 $3,200.00
1 LS 6,072.00 $6,072.00
1 LS 3,975.00 $3,975.00
$14,247.00
$7,293,659.00
0
$8,000.00
$8,580.00
$14,247.00
$7,324,486.00
0
573 Calendar Days
Previous 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
Net increase in contract amount Change Order #4
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 of this revision to the Contract.
1lI~ KjJ_ q. 21.7
~ende~ b~ Engineer Date
i~~~
Agreed to by . ntractor
9-;2.,7-07
.
Date
~d/-
Date
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