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FROM :, FAX N0. : 5037699365 Jul. 10 2000 11:33AM P2 <br />Change Order Request <br />Change Qrder No.: 12 <br />I7ATE: Julv 10, 2000 <br />FROM: JM Wadsworth Co. P.O. Box 170 Atunsville Or. 97325 <br />PROJECT: Courthouse Square Project JOB NO.: Q~310-4 <br />T0: Pence/ K,ellv Construction Inc. Attn: Dav~ a s <br />********~**~x**~~t*t* <br />This CHANGE ORDER REQUEST uicludes all material, labor and equipment <br />necessary to complete the following work along Chemeketa and Church St.. <br />Iznport of rock placed and graded for subgrade of 1-1/2 mches of asphalt paving from <br />behind curb to building fownd.ation. <br />[x] The work below to be completed for the sum of six thousand three hundred thirtv <br />four and 00/100 dollars ($ 6334.00) <br />WORK AESCRIPTION <br />Im~ported rock ..(210 ton) .......................................................... 1708.00 <br />Compa~ction .....................(8540 sq.ft.)...................................---... 1890.00 <br />Rock placement and grading ....................................................... 2160.00 <br />P 8t O ................................................(10°/a)........................ 576.00 <br />Totai .......................................................................................... 56334.00 <br />The work covered by this order shaII be perfoim~ed ~u-d,er the same Term~s and <br />Conditions as that inclwded in the origiz~ contract unless stated otherwise abvve. <br />Submitted by: J1~%( Wadsworth Co. <br />chspr126 <br />