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SHEET 1 OF 2 <br />DATE: 01l191l6 <br />KITTITAS COUNTY <br />DEPARTMENT OF PUBLIC SERVICES <br />CHANGE ORDER <br />CHANGE ORDER NUMBER <br />14 <br />~ Ordered by Engineer in accordance with Section \- <br />04.4 ofthe Standard Specifications <br />TO: Belsaas and Smith Construction Inc _ <br />PO Box 926 <br />~C hun ge order proposed by Contractor <br />Ellensburg, W A 98926 <br />ENDORSED BY : PROJECT TITLE: Kittitas Highway Safety Improvements <br />~t$~t2--/I~/I" <br />S~gnature. / /:) Date <br />Title: ~I-r <br />Contract No. RC1545-Jl CONSENT GIVEN BY SURETY: (When <br />required) Federal Aid No. STPD-CI90(003) <br />By:--,-,-__ --,-,--::-_____ _ <br />Atto rney -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 />o additional working days are added to this contract due to this change order. <br />ORIGINAL <br />CONTRACT AMOUNT <br />$3,978,87 1-50 <br />APPROVAL RECOMMENDED <br />Project Engineer <br />APPROVED <br />CURRENT CONTRACT <br />AMOUNT <br />$4136180.36 <br />ESTIMATED NET <br />CHANGE THIS <br />ORDER <br />$1 96547.84 <br />APPROVED <br />ESTIMATED CONTRACT TOTAL <br />AFTER C HANGE <br />$4,332,728.20 <br />( <br />D,w ~---I b~lll? <br />Date <br />Board of County Commissioners <br />~ ()Zo/'-/b <br />Director Date