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Kittitas County Solid Waste Programs <br />925 Industrial Way, Ellensburg, WA 98926 <br />Telephone: (509) 962-7542 <br />Fax: (509) 962-7087 <br />CHANGE ORDER <br />PROJECT <br />Ryegrass West Septage Pond Reconstruction <br />TO CONTRACTOR <br />Belsaas & Smith Construction, Inc. <br />P.O. Box 926 <br />Ellensburg, WA 98926 <br />THE CONTACT IS CHANGED AS FOlLOWS: <br />The original Contact Sum was <br />Net change by previous authorized Change Orders <br />The Contract Sum prior to this Change Order was <br />CHANGE ORDER NO: 001 <br />Date: 01-03-2017 <br />Notice to Proceed Date 10'()3-2016 <br />$ 243,540.00 <br />$ 0.00 <br />The Contract will be increased by this Change Order in the amount of <br />The New Contract Sum including this Change Order will be <br />$ 243,540.00 <br />$ 7,613.00 <br />$ 251,153.00 <br />The Contract Time w·iII be extended by _ <br />The date of Substantial Completion with this Change Order is <br />25 Days <br />12-28-2016 <br />DESCRIPTION OF CHANGE <br />COP 01 Replace Lysimeter <br />COP 02 Sand Bedding at Liner Foundation <br />COP 03 Replace Concrete Ramp <br />COP 04 Additional Contract Time <br />COP 05 Acceptance of Operating Layer <br />Print Name <br />I b)lto ., <br />Dote <br />Days <br />4 <br />2 <br />6 <br />13 <br />o <br />Cost <br />$ 0.00 <br />$ 2,423.00 <br />$ 6,554.00 <br />$ 0.00 <br />$(1,364.00) <br />"' ... "',." .... Commissioners Chair <br />By (Slgnarurt) <br />PetaL j \.Je WC' I ( <br />Print Name <br />Ft -b . 1-_ /) L , 1: , <br />D~