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Re ion: 5 TxCDBG Contract No.: 710222 <br />Grant Recipient: City of Paris Change Order No. Five (5) and Final <br />JUSTIFICATION FOR CHANGE Increase Decrease _. No <br />1. Effect of this change on scope of work: <br />2. Effect on operation and maintenance costs: <br />3. Will this Change Order change the number of beneficiaries or <br />TxCDBG contract Performance Statement? <br />If yes, please attach Performance Statement modification request. <br />4. Has this change created new circumstances or environmental <br />conditions which may affect the projecYs impact, such as concealed or <br />unexpected conditions discovered during actual construction? <br />If "Yes", is an Environmental Re-assessment required? <br />5. Is the TCEQ clearance still valid? <br />6. Are other TxCDBG contractual special condition clearance still <br />valid? (If no, specify): <br />7. If new items are included that were not included in the competitive <br />bid, have the prices been determined to be reasonable? <br />APPROVED by Grant Recipient (Required): <br />By: � ��..-_ <br />ENGINEER (Authori <br />Date: °t-1•l�l-- <br />To receive an email <br />Admin <br />of the TDA res onsE <br />Name <br />� <br />�, <br />�� <br />Date: 7/�J 5'/� <br />� information below: <br />Email address <br />��i�� <br />/� ■ <br />/1 <br />�� <br />__ <br />�� <br />2012 TxCDBG Pr�ct Implementation Manual SECTION A- Chapter 5 Procurement Procedures 2 <br />- 61 <br />