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10-21-19-WS
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m,b STAT` E// AID F(O(R' LOCAL TRANSPORTATION, <br />Rev. February 2018 <br />SP SA/ P(s} 187-020-021 1 MN Project No.: I Change Order No. 3 <br />Estimate <br />**Group/ <br />funding <br />Category <br />Of <br />Item No. <br />or decreases <br />Description <br />in contract items, <br />any <br />Unit <br />negotiated.account <br />Unit Price <br />items.) <br />Quantity <br />or— <br />Amount $ <br />3 <br />Helical Pier Extensions <br />LF <br />$ 31.00 <br />543.4 <br />$ <br />16,845.40 <br />3 <br />Wall 3 Footing Reinforcing <br />LBS <br />$ 2.15 <br />10,740 <br />$ <br />23,091.00 <br />3 <br />Reinforced Soil Slope Wall <br />ISF <br />$ 35.00 <br />1898 <br />1 $ <br />66,430.00 <br />3 <br />Detour Traffic Signage Added <br />LS <br />$1,531.25 <br />1 <br />$ <br />1,531.25 <br />3 <br />Additional Traffic control <br />LS <br />$ 3,012.65 <br />1 <br />$ <br />3,012.65 <br />3 <br />Portable Message Boards <br />Day <br />$ 205.00 <br />14 <br />$ <br />2,870.00 <br />3 <br />Pump Rental for Dewatering <br />LS <br />$ 8,364.50 <br />1 <br />$ <br />8,364.50 <br />Prime Contractor markup <br />10% <br />$ <br />2,425.93 <br />Net Change this Change Order <br />$ 124,570.73 <br />*Estimated amount, final quantities have not been completed <br />**Group/funding category is required for federal aid projects <br />Approved by City Engineer: uial Date: tO (z_ <br />Print Name: f32 6 <br />Approved by Contractor: 'saA L \1 i/1�Y� Date: 9 `�_l - I f_� <br />Print Name: L+) e S un reL vv-% <br />Approved by Ramsey County: _ _ - Date: <br />Print Name: <br />Consultant Engineer. Date: I lzr?zl <br />Print Name: <br />DSAE Portion: The State of Minnesota is not a participant in this contract. Signature by the <br />District State Aid Engineer is for FUNDING PURPOSES ONLY and for compliance with State <br />and Federal Aid Rules/Policy. Eligibility does not guarantee funds will be available. <br />This work is eligible for: ` Federal Funding _ State Aid Funding <br />District State Aid Engineer: <br />Date: <br />Local funds <br />
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