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<br />CHANGE ORDER <br /> <br />(Instructions on reverse side) <br /> <br />No. One and Final <br /> <br />PROJEer: Pro Rata 12" Watermain <br />OWNER: Extension Highway 271 N <br /> <br />(Name. City of Paris <br />Address) P.O. Box 9037 <br />Paris, TX 75461-9037 <br />CONTRAerOR: <br />Bill Hazelwood, Inc. <br />P.O. Box 966 <br />Sherman, TX 75091-0966 <br />CONTRAer FOR: <br /> <br />DATE OF ISSUANCE: A t 12 1991 <br />. ugus , <br /> <br />OWNER's Project No. <br /> <br />83.65 <br /> <br />ENGINEER: <br /> <br />Construction of approximately 3160 LF <br />of 12" Watermain with appurtenances <br /> <br />ENGINEER's Project No. 83.65 <br /> <br />You are directed to make the following changes in the Contract Documents. <br /> <br />Description: See attached schedule of quantities <br /> <br />Purpose of Change Order: Adjustment of As-Bid quantities to reflect As-Built quantities <br /> <br />Attachments: (List documents 'supporting change) At tachmen t A <br /> <br />CHANGE IN CONTRAer PRICE:' <br /> <br />CHANGE IN CONTRAct: TIME: <br /> <br />Original Contract Priq: <br /> <br />Original Contract rune <br /> <br />$ <br /> <br />$74,513.25 <br /> <br />90 days <br /> <br />April 1, 1991 <br />da)'Sordate <br /> <br />Previous Change Orders No <br /> <br />to No. <br /> <br />Net change from previous Change Orders <br /> <br />$ <br /> <br />S74.~11.2~ <br /> <br />da" <br /> <br />Contract Price prior to this Change Order <br /> <br />Contract Time Prior to this Change Order <br /> <br />$ <br /> <br />$74,513.25 <br /> <br />90 <br /> <br />days <<date <br /> <br />Net Increase (.mcr-'Il of this Change Order <br />$2,169.70 <br /> <br />Net Increase {dt1rt"l\"'J of this Change Order <br />20 <br /> <br />da" <br /> <br />$ <br /> <br />Contract Price with all approved Change Orders <br /> <br />Contract Time with all approved Change Orders <br /> <br />$ <br /> <br />$76,682.95 <br /> <br />110 days <br /> <br />July 20, 1991 <br />dayJor4atc. <br /> <br />RECOMMENDED: <br /> <br />APPROVED: <br />CITY OF PARIS, PARIS, TX <br /> <br />AJ>PROVED,- ---- <br /> <br />"- <br />Fisher, Mayor <br /> <br />by <br />""""""" <br />Bill Hazelwood <br /> <br />by <br />Earl <br />ATTEST: <br /> <br />-- <br />E. Smith, P.E. <br /> <br />by <br />George <br />OWNER <br /> <br />Mattie Cunningham, City Clerk <br /> <br />EXHIBIT A <br />