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Mn/DOT TP-2184-02 (5/83) <br />State of Minnesota Department of Transportation <br />Page 1 of 1 <br />CHANGE ORDER #1 <br />Contractor: North Pine Aaareaate. Inc. S.P. No. 199-020-010, 199-104-010 <br />Address: 14551 Lake Drive <br />Forest I eke MN 55025 <br />Location: CSAH 83 and 147th Avenue/Sunwood Drive Project <br />F.P. No. N/A <br />Contract No. N/A <br />In accordance with the terms of this Contract, you are hereby authorized and instructed to perform the Work as altered by the following provisions: <br />Abandon existing arch pipe at structure 5004, additional topsoil excavation and handling for <br />stockpiles/dump sites in the vicinity of Lake Ramsey. <br />ESTIMATE OF COST <br />Added Items <br />ITEM <br />NO. ITEM NAME UNIT QUANTITY UNIT PRICE AMOUNT <br />1 Abandon Arch Pipe at Structure 5004 LS 1 $ 5,335.00 $ 5,335.00 <br />2 Additional Topsoil Excavation and Handling CY 5,452 $2.55 $13,902.60 <br />Original Contract Amount <br />Change in Contract due to this Change Order <br />Total Contract Amount <br />Issued by: <br />Approved by: <br />Accepted by: <br />CHANGE IN CONTRACT TIME <br />Due to this change, the Contract Time: <br />❑ is Increased by Li Working Days <br />❑ is Decreased by ❑ Calendar Days <br />• is not changed. <br />❑ May be revised if the work affected the controlling <br />operation. <br />$2,342,641.29 <br />$19,237.60 <br />$2,361,878.89 <br />City Engineer <br />City Administrator <br />Date <br />Date <br />Contractor's Authorized Representative Date <br />I:\AgendaQuick\Documents\Engineering\Sunwood Change Order No 1.doc <br />