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Project: Kittitas Jail <br /> 205 W 5th Ave <br /> Ellensburg, WA 98926 <br /> <br /> <br />Page 1 of 1 <br /> <br /> <br />POTENTIAL CHANGE ORDER <br /> <br />TO: Scott Carlson Date: 4/20/2026 <br />Contractor Belsaas and Smith Change # 8 <br /> - Amount: $480.00 <br /> Initiated By: Contractor <br />FROM: Charles Espinoza Reason: Scope Change <br />Subcontractor Titan Electrical LLC Type: Additive - Lump Sum <br /> <br /> <br /> <br /> <br />CHANGE TITLE Matron Room Light Fixture PCO8 <br /> <br />THIS CONTRACT WILL BE MODIFIED AS FOLLOWS: <br />Remove (1) existing 1x4 light fixture and safe off wiring. Reinstall light fixture <br /> <br />Cost Breakdown This Change: Contract Revision Summary: <br /> <br />Labor $375.00 Original Contact <br />Material $25.00 Prior Approved Changes <br />Other $0 Contract After Changes <br />O&P $80.00 This Change <br />Total $480.00 Total Contract to Date <br /> <br /> <br /> <br />Authorized By: Accepted By: <br /> CONTRACTOR SUBCONTRACTOR <br /> <br />Signature: Signature: <br />Print Name: Print Name: <br />Title: Title: <br />Date: Date: <br /> <br /> <br />Docusign Envelope ID: 89144F8C-AA3F-80BF-836D-7E5D94EFF238