Laserfiche WebLink
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 beneflciaries or <br />TxCDBG contract PerFormance Statement? <br />If�res, 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: � � -d gy; <br />ENGINEER {Authoriz Si ure) CO; <br />Date: - �1-- Date: 7/�'J y/.� <br />To receive an email co of the TDA res onse, rovide information below: <br />Name Email address <br />Grant Reci ient <br />Admin Consultant <br />��� <br />■ /�1 � <br />■ // <br />����� <br />'_-_ <br />��� �� <br />2012 TxCDBG Proiect Implementation Manual SECTION A- Chapter 5 Procurement Procedures __ 2 <br />