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Construction Contract Change Order <br />r Grant Recipient: City of Pans Select: ® City E] County <br />,y _ <br />ry <br />Contract No.: 721 <br />8152 Change Order No.: 2 Region: ATCOG <br />Contractor: Engineer: _ <br />Highway19 ConstructionsEngineering, <br />Hayter n ineerin9,Inca <br />P.O. Box 492 4445 SE Loop 286 <br />Sulphur Springs, TX 75482 Paris, TX 75460 <br />LL✓� Change to ExistinguLine Items _ N ® New Items Requested „^^^^ Change in Contract Duration <br />Select Change OrderType(s) ® <br />Grant recipient is requesting Texas Department of Agriculture review to determine eligibility of change order expenses. <br />Items (Items from original bid or add - — ......_-- � �. ............r_ ...... -_. ....__... <br />Changes to Existing Line..- .......t <br />g g g' ed in previous change order ONLY) <br />Bid Item # Item DescriptionOriginal Qty. UOM Unit Price AQty. Change in Proposed Qty. _...__. ._.._. � <br />in Contract Price + <br />. <br />21..... �..�__-a ��-..�.... _ .. ............. .....,, <br />.�_ <br />New Type B Handrails 80 103 LF $150.00 23 $3,450.00 - <br />....— -- _.. rrr..�.�...... <br />r��._�_w .�..._......� .. �... www_ ..................�..,9 .. <br />Contract Change Sub -Total: $3,450.00 <br />New Items Requested (Items WITHOUT a unit price in the original bid) <br />Provide explanation below (attach separate documentation as appropriate). The Grant Recipient must demonstrate competitive pricing <br />for new items. <br />The Cit has been instructed b TDLR to add safety y y a new 3b continuous rail t fe railing. <br />� __� o the sa.�__�.. ,..n., w.. <br />Bid Item # Item Description Original Qty. Propose <br />p Pro sed Qty. �UOM� Unit Price A Qty Change in Contract Price + <br />New 36" rail added to the safet�47 LF �ontract New ItemSub Total: $7,911,04 <br />Change in Contract Duration <br />Justification for Change <br />Page 1 of 4 <br />Increase <br />Decrease <br />No Change <br />1. Effect of this. .....�_.n_... _.e _.... .....� ...... � ...... .. .. .�a-..... .. <br />change on scope of work: <br />- m... <br />...... <br />❑112.�Effect..on <br />u-. _w.-a..--.._._.� <br />IR <br />operation and maintenance costs:.... ..� ... .. ...... � w.,u..-_..-.-_„�..�_ <br />_...._ <br />....... . ..........._�.......-.. <br />❑ <br />� ... �.w._ <br />............. ___. _...__._ �..�.-._... <br />_❑ <br />......Yes..__..... <br />_ No..... <br />...... Not._... <br />Applicable <br />--_n....�...� BG <br />3. Will this Cha ge Or er change <br />g g number of beneficiaries or TxCDBG <br />- <br />- �� <br />❑ <br />® <br />❑ <br />contrct Statement Exhibit <br />this change created new circumstances or environmental conditions <br />which may affect the project's impact, such as concealed or unexpected <br />❑ <br />® <br />❑ <br />conditions discovered during actual construction? <br />.11111- _..______. � ___ �.- .... w.�����..... _.....w..�..._.__ www_._. _.... ...., ... ........... <br />_ �_�_. <br />_. <br />�_..mw..�� <br />. _ _.. ...... ....._........ <br />5. Is the <br />he TCEQ clearance still valid? <br />❑ <br />❑ <br />...�....................WW.. _ - <br />- Are other TxCDBG contractual <br />al special condition clearances still valid? <br />w....., <br />® <br />.... <br />❑ <br />�_.... <br />❑ <br />......w ............._..................... __,..................................................... ..,,................_.........._.... <br />—.......... __..........__ <br />_.... ... <br />This form required as of September 2019. <br />9 <br />Grant Recipient: City of Paris Contract No.: 7218152 Change Order No: <br />2 <br />All previous versions <br />no longer valid. <br />Page 1 of 4 <br />