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North Country Concrete, Inc. <br />23035 Ulysses Street Northeast <br />East Bethel, MN 55005 <br />Office 763-576-8602 <br />Fax 763-576-8636 <br />TO: RJM <br />830 Boone Ave North <br />Goldne Valley, MN 55427 <br />ATTENTION: Justin Rice <br />41 : FA k,rflSri] ']11a'I <br />DATE: <br />02/18/22 <br />NCCI CO#: <br />4 <br />RE: <br />Elk River Municipal <br />Project # <br />21177 <br />Project <br />Manager: <br />Eric McCartney <br />Item # <br />Description <br />Amount <br />Unit <br />Unit Cost <br />Total <br />1 <br />Add 170sf of 4" Non Reinforced Concrete Walk per PR-13 <br />dated 2/10/22 <br />170 <br />sf <br />$5.50 <br />$935.00 <br />2 <br />Add (1) set of concrete stairs per PR-13 dated 2/10/22 - <br />excludes footings/foundations/cheek walls and railings <br />1 <br />Is <br />$2,600.00 <br />$2,600.00 <br />TOTAL CHANGE ORDER: <br />$3,535.00 <br />SIGNATURE ?'r�aCcne� <br />WE ARE SENDING YOU: <br />X CHANGE ORDER <br />CONTRACTOR PROFILES <br />CERTIFIED PAYROLL <br />INSURANCE CERTIFICATE <br />COMMENTS: <br />DATE ZltfIZOZZ <br />CONTRACT <br />LIEN WAIVERS <br />SUBMITTALS <br />OTHER <br />* Change Order honored for 30 days <br />ACCEPTANCE OF CHANGE ORDER: The above prices, specifications and conditions are hereby accepted. We agree to give <br />North Country Concrete, Inc. at least (7) days notice prior to commencing work. <br />SIGN AND RETURN IF PROPOSAL IS ACCEPTED <br />signature: <br />cc: Shiela Corbett - NCCI <br />date: <br />121 <br />