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Docusign Envelope lD: 89144F8C-AA3F-808F-836D-7E5D94EFF238 <br />Change Order <br />'WAIA Document G7o1 <br />.-2017 <br />PROJEGT: (Name and ad&ess) <br />Kittitas courty Jail Facilities Retrovation <br />Task I <br />205 West sth Aveoue <br />Ellersburg, wA 98926 <br />0WNER: (Name and addressl <br />Kiftitas Couoty <br />205 West 5o Avenue <br />CONIRACI INFORIIATION: <br />ContractFor: Renovation <br />Date:0+30-2025 <br />CHANGE OROER INFORITIAIION: <br />cb&ge orderNueben 014 <br />Date: 06-30-26 <br />CONTRACT0R: (Name and addressl <br />Belsaas & Smith CoosfuctioD, Inc. <br />103 East 4t Avemre, Suite 209 <br />Elleusbure. WA 98926 <br />ARCHITECT: (Name and address) <br />Knit <br />7826Leary Way. Ste.200 <br />Redmond. WA 98052Ellersburbe. WA 98926 <br />IHE COI{TRACT IS CHANGED AS FOLLOWS: <br />qnsert a detai!,ed description ofthe change and, ifapplicable, attach or reference speciftc erhibits. AIso include ag'eed upotr <br />adjusnnentt awibutable to acecuted Const'uction Change Dtrectfues') <br />Tiis change order includes a cost adjustmeut related to the added Scop of Work identifiedin COP#24 <br />The original Cotrtract Sumwas <br />The net change by previously authorized Change Orders <br />The Contract Sum prior to this Change Order rvas <br />The Contract Sum rvill be uncbanged by this Change order in the amount of <br />The nerv Coutract Sum including this Qfoa1gs order will be <br />$ <br />$i <br />t <br />t <br />-o00.oo <br />r,366,720.t2 <br />4,O23,720.t2 <br />144 799.71 <br />4.168.5 19.89 <br />The Contract Time will be unchanged by ( ) days. <br />The nerv date of Substantial Completiou will be <br />NOTE: <br />This Change Order does not include adjustments to the Contract Suu' or Guaranteed Maxirnum Price, or the <br />Contract T'ime. that have been authorized by Construction Change Directive until the cost and time have been <br />agreed upon by both the Orvner and Contractor. in which case a Change Order is executed to supersede the <br />Construction Change Directive. <br />NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER. <br />by:by: <br />M^n frwfunw Sdt Wtow <br />BY: Iohn Aadersoo, Principal BY: Scott Cadson, Project Manager BY: Kittitas County <br />(Printed nan e, title, and license <br />nwnber if reEdred) <br />6t30t2026 <br />(Printed name and title) <br />613012026 <br />(h'inted name and title) <br />1, <br />Date Date <br />1