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ENGINEERING <br />621 IIIX OIifIR HOKTH • MINNLAPOL15. MR 55422 • M411I: 763.545.9196 • IA1L 163.54113056 <br />Request for Additional Service <br />Project: Ramsey Fire Station <br />Client: Brennan Construction Date: 09/18/2015 <br />Client Contact: Joe Brennan Clark Project No: C14520 <br />Clark Contact: Craig Johnson Request No: 02 <br />Reason for Additional Service <br />The client has requested further work. Please list below. <br />Extra surveying services related to errors on grading plan, surveying, <br />computations and correspondence, e-mails, phone calls, site visits <br />Item Description Change in Fee <br />No: and Expenses <br />9/10/2015 — Resolve Errors in grading plan (Craig) 2hrs 260.00 <br />1 9/11/2015 —Meet Engineer on site to resolve north helium entrance grades (Craig) 2hrs 260.00 <br />2 9/11/2015 — Check curb elevations for helium Street entrances grade issues (Cody) 3hrs 330.00 <br />3 9/11/2015 — Revise curb alignment calculations related to grade issues (Cody) 3hrs 285.00 <br />4 9/15/2015 — Correspondence Resolving Grading Plan Issues (Craig) 2hrs 260.00 <br />5 9/16/2015 — Re -compute curb alignments and created curb revision map (Cody) 2hrs 190.00 <br />6 9/16/2015 — Correspondence Resolving Grading Plan Issues (Craig) 2hrs 260.00 <br />7 <br />8 <br />9 <br />Total Change $1,845.00 <br />Summary Fee/Compensation <br />Original Scope of Work From Proposal 5,400.00 <br />Previous Additional Services Approved (not yet approved at the time of this submittal) 900.00 <br />This Additional Service 1,845.00 <br />Total of Revised Scope $8,145.00 <br />Name <br />Client Authorization <br />Position Authorized Signature <br />Date <br />MINNEAPOLIS'-''INI:_''•ABERDEEN O..11 ..) 1.1'",•SIOUXFALLSS+0UTHDAKOiA•WAUERTOWNS%UINi711.(OTA • EU..,,,oP41'rUH Doom • clark-eng.corn <br />