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Date of Issuance: 5/5/2015 <br />Effective Date: <br />Change Order <br />No, 1 <br />Project: 2015 Street Improvements Owner: Owner's Contract No.: <br />City of Elk River SAP 204 -135 -001 <br />Contract: 2015 Street Improvements Date of Contract: <br />Contractor: North Valley, Inc. Engineer's Project No.: N15.108340 <br />The Contract Documents are modified as follows upon execution of this Change Order: <br />Description: Mill (1.5" over entire surface) and overlay 196`h Avenue (including returns to side streets) from CSAE 1 to <br />Lander Street. Approximately 2,750 LF. <br />Attachments (list documents supporting change): <br />CHAINGE IN CONTRACT PRICE: CHAINGE IN CONTRACT TIMES: <br />Original Contract Price: Original Contract Times: ❑ Working days ® Calendar days <br />Substantial completion ( date): October 9, 2015 <br />$3,732,193.14 Ready for final payment (date): October 26, 2015 <br />[Increase] [Decrease] from previously approved <br />Change Orders No. NIA to No. N/A : <br />Contract Price prior to this Change Order: <br />$3,732,193.14 <br />Increase of this Change Order: <br />$73,528.92 <br />Contract Price incorporating this Change Order: <br />$3,805,722.06 <br />RECD% MENDED: Bolyn & Menk. Inc, <br />Y: <br />Engineer i,Authorized Signature) <br />Date: ' <br />Approved by Funding Agency (if <br />applicable): <br />[Increase] [Decrease] from previously approved Change Orders <br />No. N/A to No. N /A: <br />Substantial completion (days): 0 <br />Ready for final payment (days): 0 <br />Contract Times prior to this Change Order: <br />Substantial completion (date): October 9. 2015 <br />Ready for final payment (date): October 26, 2015 <br />[Increase] [Decrease] of this Change Order: <br />Substantial completion (days or date): 0 <br />Ready for final payment (days or date): 0 <br />Contract Times with all approved Change Orders: <br />ACCEPTED: <br />Substantial completion (date): October 9, 2015 <br />Ready for final payment (date): October 26, 2015 <br />By: <br />Owner (Authorized Signature) <br />Date: <br />Date: <br />A <br />By: I <br />Contractor (A thorized Signature) <br />Date: Z71' 1 <br />