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Docusign Envelope ID: E750DAC0-CA9E-4D51-8CB7-0926583E3EC9 <br />Document G701 - 2017 <br />Change Order <br />PROJECT: (Name and address) CONTRACT INFORMATION: <br />230076 Kittitas County Jail Facilities Contract For: Renovation <br />Renovation Task l <br />205 West 5th Avenue Date: 04-30-2025 <br />Ellensburg, WA 98926 <br />OWNER: (Naive and address) ARCHITECT: (Name and address) <br />Kittitas County KNIT <br />2205 West 5th Avenue 7826 Leary Way. Ste: 2UU <br />Ellensburg, WA 98926 Redmond, WA 98052 <br />CHANGE ORDER INFORMATION: <br />Change Order Number: 003 <br />Date: 11-05-2025 <br />CONTRACTOR: (Maine and address) <br />Belsaas & Smith Construction, Inc. <br />103 bast 4th Avenue, Ste: 209 <br />Ellensburg, WA 98926 <br />THE CONTRACT IS CHANGED AS FOLLOWS: <br />(Insert a detailed description of the change and, if applicable, attach or reference specific exhibits. Also include agreed upon <br />adjustments attributable to executed Construction Change Directives) <br />This change order includes General Contractor's change order proposals COP #2 <br />The original Contract Sum was <br />$ 2,457,000.00 <br />The net change by previously authorized Change Orders <br />$ 155,114.33 <br />The Contract Sum prior to this Change Order was <br />$ 2,612,114.33 <br />The Contract Sum will be increased by this Change Order in the amount of <br />$ 691,497.74 <br />The new Contract Sum including this Change Order will be <br />$ 3,303,612.07 <br />The Contract Time will be unchanged by Zero (0) days. <br />The new date of Substantial Completion will be Unchanged <br />NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed <br />Maximum Price, or the Contract Time, <br />that have been authorized by Construction Change Directive until the cost and time have been <br />agreed upon by both the Owner and <br />Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. <br />NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER. <br />DocuSigned by: Signed by: <br />5C4 �SOA l A Into V�� <br />Qvt,�.c,v� LA, P9CDe32A00185416 <br />.� <br />.. <br />ARCHITECT (Signature) CONTRACTOR (Signature) <br />OWNER (Signature) <br />BY: John Anderson, Principal BY: Scott Carlson, Project Manager <br />BY: Patti Stacey, Facilities and <br />(Printed mine, tide, and license (Printed name and title) <br />Waster Operations Director <br />number if required) <br />(Printed name and title) <br />11 /5/2025 11 /5/2025 <br />Date Date <br />Dane <br />AIA Document G701 — 2017. Copyright ©1979, 1987, 2000 , 2001 and 2017. All rights reserved. "The American Institute of Architects," "American Institute of <br />Architects," "AIA," the AIA Logo, and "AIA Contract Documents" are trademarks of The American Institute of Architects. This document was produced at 11:03:06 <br />PST on 11/05/2025 under Subscription No.20240090396 which expires on 12/25/2025, is not for resale, is licensed for one-time use only, and may only be used <br />in accordance with the AIA Contract Documents" Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. <br />User Notes: (690b9c86b3397ff6ef3e4365) <br />