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ST9905-CN071009 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.: Five (5) DA TE: October 9, 2007 Page 1 Of 2 Item Description Quantity Unit Unit Price Total Minyard's Development: ADD: Water Line @ Sta 50+06.5 1. Additional Traffic Control LS 750.00 $750.00 2. Additional Staking LS 250.00 $250.00 3. 16" x 8" Tapping Sleeve & Valve EA 3,850.00 $3,850.00 4. Asphalt/Flexbase Street Repair 1 LS 1,500.00 $1,500.00 5. Bore w / Casing Under Existing 25 LF 230.00 $5,750.00 Street 6. Bore w/o Casing Under Existing 12 LF 115 . 00 $1,380.00 Box 7. Two 450 Bends & Plug LS 1,750.00 $1,750.00 8. 8" PVC 97 LF 55.25 $5,359.25 9. Testing LS 700.00 $700.00 Sewer Line @ Sta 50+ 18.85 10. Additional Traffic Control 1 LS 750.00 $750.00 11. Additional Staking 1 LS 250.00 $250.00 12. Steel Plate & MH Safety Ring LS 2,200.00 $2,200.00 13. Asphalt/Flexbase Street Repair LS 2,500.00 $2,500.00 14. Bore w/o Casing under Box 12 LF 115.00 $1,380.00 15. 8" Plug EA 200.00 $200.00 16. Testing LS 700.00 $700.00 17. 8" PVC Sewer Line 65 LF 63.75 $4,143.75 18. 4-ft Diameter Manhole EA 4,200.00 $4,200.00 19. 20. 2l. 22. 23. Median Openings 9" Concrete Pavement 357 7.5 357 2 67 Lime @ 42 lbs/SY 8" Stabilized Subgrade Median Noses Stamped Concrete Total Revision to Contract Amount SY TON SY EA SY 29.00 105.00 2.95 1,200.00 83.00 $10,353.00 $787.50 $1,053.15 $2,400.00 $5,561.00 $57,767.65 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 Net increase in contract amount Change Order #5 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 $14,247.00 $57,767.65 $7,382,253.65 o 573 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. r{~ t-P_JJ 10 '9.7 lkCd~ nde~ b~~Engineer Date g-- /~ C) Date Page 2 Of 2