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CM-2015-850 - 8/7/2015
Page I ol'3 Contract Quantity Adjustment/ Change Order R., min Department: Transportation Project Greenlawn Blvd. Neighborhood Name: Revitalization Program City Project ID Number REVIT 3ustification Additional 27 LF of Precast Fence and one gate SUMMARY Original Contract Price: Previous Quantity Adjustment(s): This Quantity Adjustment: Total Quantity Adjustment(s): Total Contract Price with Quantity Adjustment(s): Previous Charge Order(s): This Change Order: Total Change Order(s) To Date: Adjusted Contract Price [Original Contract Price Plus Quantity Adjustment(s) Plus Orange Order(s)]: Difference between Original and Adjusted Contract Prices: Original Contact Time: Time Adjustment by previous Quan. Adj./Orange Order: Time Adjustment by this Quan. Adj./Change Order. Date: 7/21/15 Change Order/Quantity Adjustment No. Amount % Change $407,947.50 $0.00; $0.00 $407,947.50 $0 00 0.00 $3,150.40 0.01 $3,150.40 0.01 New Contract Time: 0 }+mss .ter : _ Submitted for Approval rr��"`"1� Prepared By: TCLsc.tf ' Rosa Posadas, Contract Administrator Fencecrete America, Inc. Signature Printed Name, Title, Company Date 3�..._ i�eer� Yuda Doliner, President Contactor. f/ Fencecrete America. Inc. 7I2+I+5 City Mayor/qty Signature Printed Name, Title, Printed ./ Date Contract Quantity Adjustment/ Change Order rev, 08/12 Project Name: Greenlawn Blvd. Neighborhood Revitalization Program Quan. Adj./Change Order No.: Change Order Data Pagc 2 of 3 Item # Item Description Unit Qty. Unit Price Amount Contract Time Adjustment (Days) C001.1 27 LF of Precast Fence LF 27 $85.20 $2,300.40 C001.2 Additional Wrought Iron Gate EA 1 $850.00 $850.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 T TALS:.. --_ 0 - 0 Page 3 of 3 Contract Quantity Adjustment/Change Order ma=acnRncxsexl� rev, 08112 Project Name: Green -lawn Blvd. Neighborhood Revitaftation Program- Quan. Adj./Change Order No.: 1 Auantity Adiustrnent Data L;'+y, , .Y - "� i1t', y • '�.1Y7`r_� .. #ti. s... tr,}r�.�-.=.�. yi.�- ` .^"'-� .T- -'.iso.. i, '�Ny 1-- yi't .�,-� '� .a: - .-E.-r;' tc ice✓,= -�;�� L.'�':" "Yd srKt^�:�'. �..u�t�`'`zttr,`::." `-`'.•.�it?���e�. 'tu`pjcCi`2.� �•,.;� !�}�"- � � a. `s .•♦...f'�..gi��-w�.�,,.-� e � Contract Time r Adjustment �, Iti �„ y.' +ti•: a7KA� "��i:: s ti,. ,, S rSs era^'•�s 1e,"3's7�?i•:, .irj� .,�•�[ L�'-' {e, `-•''.v Iii IT3 �pMr, }�xl���� �'ei.7i�7t��'�Gs�"�5��'Tn' } �a:Cs a;�Iy 'p"':Y.�•'i lf: i':T✓`i.:,'v;,., 1'r.'i��%L:Y2i".as"�'' `�C�