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4' <br />CH~-NGE OR®ER <br />Village of Mayfield,. Cuyahoga County <br />S.O.IUI. Center Road Project / CUY - 91 -13.29 <br />ODOT PID N0.20334 <br />FEDERAL PROJECT NO. TE21-6020(167) <br />The Great Lakes. Construction Company <br />contractor <br />(Each change Order shall pertain to only one Contract and shall be numbered consecutively for each contract). <br />Change Order <br />No. 02 <br />Date: 13=Aug-04 <br />Sheet No.: 1 of 1 <br />Formal authorization is hereby requested to perform additional work or to non-perform proposed work in connection with bid items <br />under the above contract, described as follows: <br />(Changes listed below are to be invoiced on the Contract Estimate Form) <br />1 2 3 4 5 6 7 8 <br />Ref. <br />No. Location Description of Item Quantity Unit Unit <br />Price Additions Non- <br />Performance <br /> <br />193 Item 625 -Item Conduit, Misc.: Conduit, 4" with 4 <br />cell Innerduct, Type 713.07 300 LF $5.00 $1,500.00 <br /> <br />194 Item 625 -Trench 225 LF $4.80 $1,080.00 <br /> <br />196 Item 625 -Pull Box, 713.08, 24" 7 Each $710.00 $4,970.00 <br /> <br /> <br /> <br /> <br /> <br /> <br /> Totals $7,550.00 $0.00 <br /> Net Totals $7,550.00 <br />Explanation of necessity for above items: <br />Mayrield Village requested modifications to the proposed multi-cell Innerduct system to improve accesibility and maintenance. The above quantities <br />reflect additional material necessary to perform this work. The remainder of the quantities necessary to perform this work appear on the associated <br />EWO (RV) #02. <br />I (we) hereby agree to perform the work indicated above column 7 and to the nonperformance of lh <br />Requested: work indicated above under column B, in consideration for payment and compensation is indicate <br />above. <br />URS rporation, Inc. he., rat k onstruction Company <br />struction o tractor <br />Dougla L. Dillon, P.E., onst lion (Date) /Joseph W. Alle Senior Vice Presiden (D te) <br />Services Great Lakes Construction <br />~ Village of Mayfiel <br />By: ~~~~ <br />Phillip rett Director of Finance and (Date) <br />Economic Development <br />