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Docusign Envelope lD: E750DAC0-CA9E-4D51-8C87-0926583E3EC9 <br />Change Order <br />-&AIA Document c7o1'- 2017 <br />WA wA 98052 wA 98926 <br />THE CONTRACT IS CHANGED AS FOLLOWS: <br />(lnsert a detailed description ofthe change and. ifttpplicable, attach or reJbrence spec(ic exhibits" Also include agreed upon <br />adj us tm ents attr ibuta b le t o exe cul e d C on s truc t i o n C h an ge D it"ec t ite s. ) <br />This change order includes General Contractor's change order proposals COP #2 <br />PROJECT: ('Name and address) <br />230076 Kiftitas Counry Jail Facilities <br />Renovation Task I <br />205 West 5th Avenue <br />Ellensburg, WA 98926 <br />OWNER: (Name and address) <br />Kittitas County <br />2205 West 5th Avenue <br />DocuSigned by; <br />CONTMCT INFORMATION: <br />Contract For: Renovation <br />Date: 04-30-2025 <br />ARCHITECT: (Nanre and address) <br />KNIT <br />7826 Leary Way, Ste: 200 <br />CONTMCTOR (Signamrel <br />BY: Scott Carlson, Project Manager <br />(Printed name and title) <br />11t5t2025 <br />CHANGE ORDER INFORMATION <br />Changc Order Number: 003 <br />Date: 1 l-05-2025 <br />CONTMCTOR: (Name and addre.ss) <br />Belsaas & Smith Construction. lnc. <br />103 East 4th Avenue, Ste: 209 <br />457 000.00 <br />155,1 14.33 <br />t2 I 14.33 <br />69t.497.71 <br />3J03,6 t 2J? <br />BY ura Osiadacz <br />narne and title) <br />tl'?-t? . 3S <br />Gi.-\ Pcd d*a.. <br />The original Contract Sum was <br />The net change by previously authorized Change Orders <br />The Contract Sum prior to this Change Order was <br />The Contract Sum rvill be increased by this Change Order in the amount of <br />The new Contract Sum including this Change Order ivill be <br />The Contract Time *'ill 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 Contrasi Sum or Guaranteed Maximum Price, or the Contract Time. <br />that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the On'ner and <br />Conrractor, 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 />John fiwkvsow <br />BY: John Anderson, Principal <br />(Printed name, t[tle, and license <br />number if requir"ed) <br />11t5t2025 <br />Date Date <br />Date <br />AlADocumenlGTOl-2017.CopyrightO1979, 1987,2000,2001 and2017.All rightsreserued."TheAmericanlnstituteof Architects,""Americanlnstituteof <br />Architects." 'AlA,' the AIA Logo, anO-"Atn Contract Documents' are trademarks of The Amerimn lnstitute of Architects. This document was produced at 1 1 :03:06 <br />pST on 1 1 /05/2025 under Sulscription No.20240090396 which expires on 1212512025, 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 />ljser Notes: (690b9c86b3397fmef3e4365)