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STATE AID FOR LOCAL TRANSPORTATION Rev. February 2018 l P,!:7F SP/SAP(s) 187-020-021 MN Project No.: Change Order No7T 1 *Estimated amount, final quantities have not been completed **Group/funding category is required for federal aid projects Approved bytti� bi Date: Print Name: i Approved by CKc, ractor: - Date: Print Name: Iv, Approved by Ramsey County: Print Name: Date: Consultant Engineer: _� rz-. V Date: 7A'1 t Print Name:--�.•ti �� DSAS Portion: The State of Minnesota is not a participant in this contract. Signature by the District State Aid Engineer is for FUNDING PURPOSES ONLY and for compliance with State and Federal Aid Rules/Policy. Eligibility does not guarantee funds will be available. This work is eligible for: _ Federal Funding _ State Aid Funding District State Aid Engineer: Page 2 of 2 _ Local funds Date: 4 2104.505 Remove striping 4" Single Line LF $ 0.92 8436 $ 7,761.12 4 2104.505 Remove striping Cross Block SF $4.40 370 $ 1,628.00 4 2104.505 Remove Arrow Each $190.00 5 $ 950.00 4 2104.505 Remove extra Depth pavement SY $9.34 4406* $ 41,152.04 Prime markup on Subcontractors 10% $ 1,033.91 Net Change this Change Order 1 $142,675.38 *Estimated amount, final quantities have not been completed **Group/funding category is required for federal aid projects Approved bytti� bi Date: Print Name: i Approved by CKc, ractor: - Date: Print Name: Iv, Approved by Ramsey County: Print Name: Date: Consultant Engineer: _� rz-. V Date: 7A'1 t Print Name:--�.•ti �� DSAS Portion: The State of Minnesota is not a participant in this contract. Signature by the District State Aid Engineer is for FUNDING PURPOSES ONLY and for compliance with State and Federal Aid Rules/Policy. Eligibility does not guarantee funds will be available. This work is eligible for: _ Federal Funding _ State Aid Funding District State Aid Engineer: Page 2 of 2 _ Local funds Date: