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:Y. o Cnange Order <br /> C, r {: _ <br /> ,i,,,,..v,i <br /> Date 11 Sept 2003 <br /> iv,` Change Order No. 03-002-ADM-001-1 <br /> 9 Cpg`S' <br /> Page 1 of 1 Pages <br /> Contract Number 03-002-ADM-001 <br /> Contract Title Easement Survey Haddon Road Waterline <br /> Prime Contractor Leonard Boudinot and Skodje <br /> ® Ordered by Engineer Description: For additional support services as directed by the City of Anacortes legal team <br /> El Proposed by Contractor <br /> Endorsed By: <br /> Contractor <br /> — <br /> Date <br /> Original Contract Amount 3500 Original Contract Completion Date 6/30/03 <br /> Current Contract Amount 3500 Current Contract Completion Date 6/30/03 <br /> Estimated Net Change This Order 733 Net Change This Order 0 <br /> Estimated Contract Total After Change 4233,/42 Contract Completion Date After Change 6/30/03 <br /> Approval Required: ❑ Council ® Mayor ❑ Public Works Director <br /> If the amount authorized in the Local Agency Agreement is exceeded and federal funds are not available for this change, the Local <br /> Agency will assume the total cost of the Change Order. <br /> I ❑Approval Recom rz Approved Approved I <br /> gje4_, <br /> _____ AAA./ <br /> Project Mana Mayor <br /> ((5ep-i- 63 a/id-4 7 <br /> Date Date <br /> [Approval Recommended ❑Approved <br /> Public W rector <br /> 47/ii Id 3 <br /> Date <br /> Attachments ❑ Narrative description of change order item(s) <br /> ❑ Estimated cost breakdown <br /> 0 Minutes of Council meeting <br />