HomeMy WebLinkAboutWarren Road Improvement
Augusta Richmond GA .
DOC~NT NAME: Wo..rr (X""\ ~oo.d. -s:. fY\ \>'("O\) en'") -e..n-f:.
DOCUMENT TYPE: C~0 0rd~
YEAR: OLt
BOXNUMBER: 23
FILE NUMBER: \ 13 \ \
NUMBER OF PAGES: \
Change Order Form
Change.Order Number: Three
Project Title Warren Road Improvement
Original Contract Date: 11-05-03 Project Number:323-04-296823314
Owner: ARC P.O. Number: P84062
Contractor: Mabus Brothers Construction Co.
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Date: 06-03-04
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The following change order is hereby made to the proposal for the above project:
See Attached
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TOTAL AMOUNT OF TIDS CHANGE ORDER $ 28.162.25 Lf::( ~11'i\ct\
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The Contract time will be mcreased/Deoreased by ~ calendar days as a result of
this change. S
Original Contract Amount
Date: , - 04 -oq..
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Previous Change Otder
(Increased / Deereased)
This Change Otder
(Increased / Deereased)
TOTAL CONTRACT WITH CHANGE ORDER(S)
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Funding Source/Account Number:
Requested By:
Submitted By:
bate:
Recommended By:
Date:
Approved By:
Date:
Accepted By:
COPIES: Errick Thom~on, P.E. Assistant Director-Engineering
Purchasing,Geri Sams
Kakoli Basu, Accountant, PWE
Pre Construction File
$ 1.682.874.60
$ 14.928.46
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$ 19.162.2~ ~
$1.'7%~.~65.J~
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