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4.10 SR 10-16-2023
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4.10 SR 10-16-2023
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10/16/2023
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East Fiber Extension <br /> Elk River, Minnesota <br /> <br />SECTION 00671 <br />Change Order <br />(Instruction on reverse side) No. <br />PROJECT: East Fiber Extension DATE OF ISSUANCE: ______________ <br /> <br />OWNER: City of Elk River <br /> 13065 Orono Parkway <br /> Elk River, MN 55330 <br /> <br />CONTRACTOR: _______ <br /> _______ <br /> _______ <br /> <br />CONTRACT FOR: East Fiber Extension <br />You are directed to make the following changes in the Contract Documents. <br />Description: <br />Purpose of Change Order: <br />Attachments (List documents supporting change): <br /> <br />CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIME: <br /> <br />Original Contract Price Original Contract Time <br />$_________ Substantial Completion: _________________ <br />Final Completion: <br />Previous Change Orders No. ___ to No. ___ Net change from previous Change Orders <br />$ Days <br />Contract Price prior to this Change OrderContract Time prior to this Change Order <br />Substantial Completion: <br />$Final Completion: <br />Net Increase (Decrease) of this Change OrderNet Increase (Decrease) of this Change Order <br />____ days for Substantial Completion <br />$ .00 ____ days for Final Completion <br />Contract Price with all approved Change OrdersContract Time with all approved Change Orders <br />Substantial Completion: __________________ <br />$ Final Completion: _______________________ <br /> <br />RECOMMENDED: APPROVED: APPROVED: <br /> <br />By _____________________ By _____________________ By _______________________ <br /> <br /> <br />City Engineer City of Elk River <br />EJCDC No. 1910-8-B (1996 Edition) <br />Change Order 00671 - 1 <br /> <br />
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