14-DELIBERATE/ACT ON RES ACCEPTING BID AND AWARDING CONTRACT FOR 2011-2012 WATER AND WASTEWATER CAPITAL IMPROVEMENTS TO FOUR THIRTEEN INC FOR $345,155.10

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Change Order No. Date of Issuance: Project: Project No.: Owner: Date of Contract: Contractor: The Contract Documents are modified as follows unon executioa of this Chanee Order: Description: Justification: CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIlVIES: Original Contract Price: Original Contract Times: Substantial completion days: $ Substantial completion date: [Increase] [Decrease] from previously approved [Increase] [Decrease] from previously approved Change Orders Change Orders No. to No. • No. to No. Substantial compietion days: $ Substantial completion date: Contract Price prior to this Change Order: Contract Times prior to this Change Order: Substantial completion days: $ Substantial completion da.te: (Increasel [Decrease] of this Change Order: [lncrease] rDecreasel of this Change Order: Substantial completion days: $ Substantial completion date: Contract Price incorporating this Change Order: Contract Times with a11 approved Change Orders: Substantial completion days: $ Substantial completion date: RECOMNIENDED: ACCEPTED: ACCEPTED: By: By: By: Engineer (Authorized Signature) Owner (Authorized Signature) Contractor (Authorized Signature) Date: Date: Date: 39 78