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m STATE AID FOR LOCAL TRANSPORTATION Rev. February 2018 <br />DEPART°71NA ?" CHANGE ORDER <br />TRANSPORTATION <br />SAP 002-683-006 1 MN Project No.: 0223 (061) <br />Change Order No. 3 <br />Project Location CSAH 83 (Armstrong Blvd) & Alpine Drive <br />Local Agency Anoka County Highway Dept Local Project No. <br />Contractor North Pine Aggregate, Inc Contract No. C0009790 <br />Address/City/State/Zip 14551 Lake Drive Columbus, MN 55025 <br />Total Change Order Amount $-$3,847.50 <br />The City Engineer has determined, the item 2504.603 12" WATERMAIN DUCTILE IRON CL 52 shall be <br />removed and replaced with item 2504.603 12" PVC WATERMAIN. The reason for this change is due to <br />product / item availability of ductile iron pipe and the short timeline of this project. <br />Prices shall include all equipment, labor and miscellaneous items required to perform this work. Payment for <br />this work will be made by negotiated unit prices shown in Estimate of Costs and in accordance with MNDOT <br />Specification 1904. North Pine Aggregate has submitted a price and approved by MnDOT contract <br />Estimating. <br />Estimate Of Cost: (Include any increases or decreases in contract items, any negotiated or force account items.) <br />**Group/funding <br />Category <br />3 <br />3 2504.603 12" PVC WATERMAIN <br />+ or— + or — <br />Quantity Amount $ <br />2504.603 12" WATERMAIN DUCTILE IRON CL 521 LF I $108.50 -(513)-($55,660.50) <br />LF I $101.00 513 $51,813.00 <br />Net Change this Change Order - $3,847.50 <br />**Group/funding category is required for federal aid projects <br />Item No. <br />Description <br />Unit Unit Price <br />Due to this change, the contract time: (check one) <br />(X) Is NOT changed <br />( ) Is Increased by <br />( ) Is Decreased by <br />( )May be revised as provided in MnDOT Specification 1806 <br />Working Days ( ) Is Increased by <br />Working Days ( ) Is Decreased by <br />Approved by City of Ramsey: <br />Print Name: <br />Approved by Project Engineer: <br />Print Name: Chris Osterhus <br />Approved by Contractor: <br />Print Name: <br />Date: <br />Phone: <br />Calendar Days <br />Calendar Days <br />Date: <br />Phone: (763) 324-3189 <br />Date: <br />Phone: <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 <br />State Aid Funding _X_ Local funds <br />District State Aid Engineer: Date: <br />Page 1 of 1 <br />