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SHEET 1 OF 2 <br />KITTITAS COUNTY <br />CHANGE ORDER NUMBER <br />DATE: 01/19/16 <br />DEPARTMENT OF PUBLIC SERVICES <br />14 <br />CHANGE ORDER <br />Ordered by Engineer in accordance with Section 1- <br />TO: Belsaas and Smith Construction Inc. <br />04.4 of the Standard Specifications <br />PO Box 926 <br />Ellensburg, WA 98926 <br />Change order proposed by Contractor <br />ENDORSED BY: <br />PROJECT TITLE: Kittitas Highway Safety Improvements <br />Signature Date <br />Title: <br />Contract No. RCI 545 -JI <br />CONSENT GIVEN BY SURETY: (When <br />required) <br />Federal Aid No. STPD -C 190(003) <br />By: <br />Attorney -in-fact Date <br />DESCRIPTION OF WORK <br />YOU ARE ORDERED TO PERFORM THE FOLLOWING DESCRIBED WORK UPON RECEIPT OF AN <br />APPROVED COPY OF THIS CHANGE ORDER. THE UNDERSIGNED HEREBY PROPOSES TO <br />UNDERTAKE AND COMPLETE THIS IMPROVEMENT, IN ACCORDANCE WITH SAID PLANS, <br />SPECIFICATIONS, AND CONTRACT, AND THE FOLLOWING SCHEDULE OR RATES AND PRICES: <br />• This change order facilitates payment for quantity adjustments in several line item cost overruns and <br />underruns as itemized in Pay Request # 12. <br />CONTRACT TIME <br />0 additional working days are added to this contract due to this change order. <br />ORIGINAL 1 11 <br />CURRENT CONTRACT <br />ESTIMATED NET <br />ESTIMATED CONTRACT TOTAL <br />CONTRACT AMOUNT <br />AMOUNT <br />CHANGE THIS <br />AFTER CHANGE <br />$3,978,871.50 <br />$4136180.36 <br />ORDER <br />$4,332,728.20 <br />$196,547.84 <br />APPROVAL RECOMMENDED <br />APPROVED <br />Project Engineer Date <br />Chairperson Date <br />APPROVED <br />Board of County Commissioners <br />Director Date <br />