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APPLICATION FOR Extra work order No. <br />EXTRA WORK EW(RV) - 02 <br />(Reasonable. Value) Date: 13-Aug-o4 <br />Sheet No.: 1 of 3 <br />Village of Mayfield, Cuyahoga. County <br />S.O.M. Center Road Project L CUY - 91 -13.29 <br />ODOT PID NO.20334 <br />FEDERAL PROJECT NO. TE21-G020(167) <br />The. Great Lakes. Construction Company <br />Contractor <br />(Each Extra Work Order (Reasonable Value) shall pertain to only one Contract and shall be numbered consecutively for each contract). <br />Formal authorization is hereby requested for the Performance of Extra Work (Reasonable Value) under the contract, described as follows: (Attach <br />drawings or sketches where applicable.) <br />1 ~ 2 - 3 I 4 <br />Description of Item <br />Estimatedtat I Unit Price I Estimated Total Ad jtion <br />Quanti (Detail Attached <br />Add Sleeves. for Irrigation Conduit for Median Islands for Phases 2-4 ~ 1 Lump Sum ~ $35,800.00 ~ $35,800.00 <br />Explanation of necessity for above items: <br />SHEET TOTAL $35,800.00 <br />The Owner requested sleeves be placed under the pavement to allow the installation of irrigation conduit for the median island. The sleeves were <br />installed to allow the irrigation conduit to be installed at a later date without disturbing the recently improved roadway pavement. This change was <br />previously approved for Phase 1. Currently, the work will be performed for. Phases 2-4. The previous modification resulted in an addition to the <br />contract value of $7,048.00. <br />I (we) hereby agree that the work listed in lh oregoing application is "extra work" as the same is <br />Requested: defined in Section 100 of the 1997 CMS Pr sions and that I (we) will perform the said work in <br />considerati r. payment and. mpen do rovided in the Contract Documents. <br />UR Co .Inc.. The t L nstn.tction Company <br />nstructi Mana r ractor <br />By: 8/J6/v y B ~ 4 ~7 <br />Dougl s L. I Ion, Hager of Construction (Date) d" a W. Allen Senior Vice President, Grea (D e) <br />Services Lakes Construction <br />ppr ved: <br />Village of M~~~~'~i' <br />By. er <br />P Ilip M. Brett Director of Finance. and (Date) <br />Economic Development <br />