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m1 STATE AID FOR LOCAL TRANSPORTATION <br />,'A7i* MENTOF CHANGE ORDER <br />TRANSPORTATION <br />Rev. February 2018 <br />SP/SAP(s) <br />199-101-012 <br />MN Project No.: <br />Change Order No. <br />#1 <br />Project Location <br />Variolite Street <br />Local Agency <br />City of Ramsey <br />Local Project No. <br />20-01 <br />Contractor <br />Park Construction Company <br />Contract No. <br />#20-01 <br />Address/City/State/Zip 11481 β€” 81st Avenue NE, Minneapolis, MN 55432 <br />Total Change Order Amount $ 43,410.80 <br />Estimate Of Cost: <br />(Include any increases or decreases in contract items, <br />any negotiated or force account items.) <br />**Group/ <br />funding <br />Category <br />Item No. <br />Description <br />Unit <br />Unit Price <br />+ orβ€” + or β€” <br />Quantity Amount $ <br />2105.601 <br />DEWATERING <br />LS <br />11,985.00 <br />1 11,985.00 <br />2503.503 <br />21" PVC PIPE SEWER (SDR 26) <br />LF <br />88.70 <br />160 14,192.00 <br />2503.503 <br />4" PVC SANITARY SEWER SERVICE PIPE (SDR 26) <br />LF <br />42.00 <br />58 <br />2,436.00 <br />2503.602 <br />21"X4" PVC WYE (SDR 26) <br />EA <br />2,292.00 <br />1 2,292.00 <br />2503.602 <br />4" PVC CAP <br />EA <br />50.00 <br />1 50.00 <br />2503.603 <br />CLEAN AND VIDEO TAPE PIPE SEWER <br />(SANITARY) <br />LF <br />1.40 <br />160 224.00 <br />2504.602 <br />1" CORPORATION STOP <br />EA <br />787.00 <br />1 787.00 <br />2504.602 <br />1" CURB STOP AND BOX <br />EA <br />768.00 <br />1 768.00 <br />2504.603 <br />1" COPPER PIPE TYPE K <br />LF <br />43.00 <br />75 3,225.00 <br />2506.502 <br />CASTING ASSEMBLY (SANITARY) <br />EA <br />801.00 <br />1 801.00 <br />2506.502 <br />ADJUST FRAME AND RING CASTING <br />EA <br />439.00 <br />1 439.00 <br />2506.503 <br />CONSTRUCT SANITARY STRUCTURE DESIGN 48- <br />4007 <br />LF <br />306.00 <br />20.3 6,211.80 <br />Net Change this Change Order 43,410.80 <br />**Group/funding category is required for federal aid projects <br />Due to this change, the contract time: (check one) <br />( X) Is NOT changed <br />( ) May be revised as provided in MnDOT Specification 1806 <br />( ) Is Increased by <br />( ) Is Decreased by <br />Working Days <br />Working Days <br />( ) Is Increased by Calendar Days <br />( ) Is Decreased by Calendar Days <br />Approved by Project Engineer: <br />Print Name: Joe Feriancek <br />Approved by Contractor: <br />Print Name: Chad Grady <br />Date: 8/4/2020 <br />Phone: (763) 433-9893 <br />Date: 8/5/2020 <br />Phone: (651) 303-5654 <br />DSAE Portion: The State of Minnesota is not a participant in this contract. Signature by the <br />District State Aid Engineer is for FUNDING PURPOSES ONLY and for compliance with State <br />and Federal Aid Rules/Policy. Eligibility does not guarantee funds will be available. <br />This work is eligible for: Federal Funding State Aid Funding Local funds <br />District State Aid Engineer: Date: <br />