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SHEET 1 OF 2 <br />DATE: 01119116 <br />KITTITAS COUNTY <br />DEPARTMENT OF PUBLIC SERVICES <br />CHANGE ORDER <br />CHANGE ORDER NUMBER <br />14 <br />129 Ordered by Engineer in accordance with Section 1- <br />04.4 of the Standard Specifications <br />TO : Belsaas and Smith Construction Inc . <br />~ Change order proposed by Contractor <br />ENDORSED BY: <br />~ ~~t2--1/74/1" <br />S~gnature y. /:J Date <br />TItle : L /-r <br />CONSENT GIVEN BY SURETY: (When <br />required) <br />By : __________ _ <br />Attorney -in-fact Date <br />PO Box 926 <br />Ellensburg, W A 98926 <br />PROJECT TITLE: Kittitas Highway Safety Improvements <br />Contract No . RC1S4S-Jl <br />Federal Aid No. STPD-CI90(003) <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 />SPECIFICA TIONS , 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 ,871.50 <br />APPROV AL RECOMMENDED <br />CURRENT CONTRACT <br />AMOUNT <br />$4136180.36 <br />ESTIMATED NET <br />CHANGE THIS <br />ORDER <br />$196,547.84 <br />APPROVED <br />ESTIMATED CONTRACT TOTAL <br />AFTER CHANGE <br />$4,332 ,728.20 <br />Project Engineer Date <br />( ~---. -I bitt/I&, <br />Chairperson Date <br />APPROVED <br />~ ()bo/~/b <br />Board of County Commissioners <br />Director Date