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Robs Excavating <br />0165th Ave Elk River, MN f <br />River MN f OYl212021 <br />Hobs Job No. 21.70 <br />YAC <br />Mcription of thange: <br />{Field Change Order (FCO) No: 1 j <br />Brief Description: Pipe change II <br />Initiated b is Jamie Hinton. PM for Mobs �J j <br />Additional Notes: Change in pipe sizing j <br />Nature of Change: --_ -_ - -- - - Reason for Change: j <br />jProposed Contract AdJustmorMir <br />1. Contract ost Adjustment <br />DescriOwcn: <br />Manhoura <br />Quantity <br />V of M <br />lCost Ea tee nsion <br />_ <br />Lab9r: <br />! I <br />Materials: <br />Pine and flttin <br />s <br />1 <br />LS <br />$ 9M.00 is 908.00 <br />Equ pment: <br />Subcontract: <br />Mob infout) <br />T <br />EA <br />$ 260.00 1 $ <br />__ Subtote a: 0 <br />Engineeringc <br />Construction OHP: <br />3 908.00 <br />$ <br />$ 90.80 <br />0 <br />0.1 <br />cce nce z on: <br />This Field Change Order, when executed, constitutes an a uth ori zabo n by Own ar, end en obpgation or _ohtractor <br />to proceed with Additional Work I accordance with all provisions of the Contract, except as modified by this Field <br />Change Order. This Field Change Order shall be Incorporated Into a Contract Amendment/Change Order at the <br />earliest convenience of the Iiartles. <br />Hobs xcava ng `not appi.ca;le YAC <br />reement Recommendation Approved_ <br />_ <br />Name: Jame Inton i name_t _ name) <br />Title: Proem Manager <br />Date: laflZILludl <br />10/12/2021 3:15 PM 21.70 FCO fcot <br />