Agenda - Council - 12/12/2023 - Laserfiche WebLink

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STATE AID FOR LOCAL TRANSPORTATION Rev. February 2018 a(ClAarmENT OF TRAMPORTAT"ON CHANGE- O R Dic--:-- SAP L002-683-006 MN Project No.: 10223 061 Change Order No. 6 Project Location CSAH 83 (Armstrong Blvd) &Alpine Drive Local Agency Anoka County Highway Dept Local Project No. Contractor North Pine Aggregate, Inc Contract No. ' CO009790 Address/City/State/Zip 14551 Lake Drive Columbus, MN 55925 Total Change Order Amount$ $11756.15 Per special provisions SL— 1 AG the County will execute a Change Order and pay for the following Work as Extra Work in accordance with 1402.5 "Extra Work". The contractor will submit to the Engineer the paid receipt of the electric utility company invoice. This receipt will be reimbursed for the full amount plus 10 percent of the invoice price. Estimate **Grouplfunding + vr— + or— Category Item No. Description Unit Unit Price Quantity Amount y $ 2 2505.602 SERVICE METER CONNECTION LS $11596.50 1 $11596.50 2 2505.602 10%PRIME MARK UP LS $159.65 1 $159.65 Net Change this Change Order $1,756.15 'Grouplfunding category is required for federal aid projects Due to this change, the contract x } Is NOT changed ( } May be revised as provided in MnDOT Specification 1806 } Is Increased by Working Days } is Increased by Calendar Days ) is Decreased by Working Days } Is Decreased by Calendar Days Approved by City of Ramsey: Date: Print Name: Phone: Approved by Project Engineer: Date: Print Name: Chris Osterhus Phone: (763) 324-3189 Approved by Contractor: Date: La 3 JPrint Name: r Phone: C Y r-- (W- 4,��, DSAE Portion: The State of Minnesota is not a participant in this contract. Signature by the District State Aid Engineer is for FUNDING PURPOSES ONLY and for compliance with State and Federal Aid Rules/Policy. Eligibility does not guarantee funds will be available. This work is eligible for: Federal Funding State Aid Funding Local funds District State Aid Engineer: Date: Page 1 of 1