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ENGINEERING <br />Project: Ramsey Fire Station <br />Client: Brennan Construction <br />Client Contact: Joe Brennan <br />Clark Contact: Craig Johnson <br />621 IILA( °Red HQRTti • MINNLAPOL15. MR 55422 • MAIN: 763.545.9196 • la 163.54113056 <br />Request for Additional Service <br />Reason for Additional Service <br />The client has requested further work. Please list below. <br />- Extra surveying services related to proposed south parking lot revisions, <br />Computations, Construction Staking & Correspondence <br />Item <br />No: <br />Description <br />Date: 10/06/2015 <br />Clark Project No: C14520 <br />Request No: 03 <br />Correspondence Regarding South Parking Lot Proposed Revisions (2 hrs. x 130) <br />1 Compute Revised Curb Staking Alignments (2 hrs. x 95) <br />2 Stake Revised Curb (5 hrs. x 110) <br />3 Stake Aggregate Final Grade Blue -tops (4 hrs. x 110) <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />Total Change <br />Change in Fee <br />and Expenses <br />260 <br />190 <br />550 <br />440 <br />$1,440 <br />Summary Fee/Compensation <br />Original Scope of Work From Proposal 5,400 <br />Previous Additional Services (not approved in writing at the time of this submittal, verbal approval only) 2,745 <br />This Additional Service 1,440 <br />Total of Revised Scope $9,585 <br />Name <br />Client Authorization <br />Position Authorized Signature <br />Date <br />MINNEAPOLI5ABEHDEEU5OU111DAI031A•5IOUXFALLS. SCION EMMA•WATERTOWNSOU IH!*XOIIA • ►hLOCMri1111rlt+nJnrit � dark-eng.com <br />