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<br />MnlDOT TP 2460-01 (2-92) <br />S_ of Minnesota Depertment of Transportation <br /> <br />Page 1 of 1 <br /> <br />WORK ORDER <br />MINOR EXTRA WORK <br /> <br />Contractor North Pine Aaareaate. Inc. <br /> <br />w.o. No. <br />S.P. No. <br />F.P. No. <br /> <br />02-614-24 <br />STPX 0206 (155) <br /> <br />7 <br /> <br />Address 14551 Lake Drive <br />Forest Lake. Mn. 55025 <br /> <br />Contract No. 2007-0586 <br /> <br />Job Location <br /> <br />On CSAH 14 From 1-35W To 1-35E <br /> <br />In accordance with Standard Specifications 1103 and 1403, you are herebya,uthored and instructed to do the wort< described herein. <br /> <br />The Contractor will make modifications to the sanitary manhole at 91+14, 18' RT as directed by the <br />Engineer and in accordance with the City of Centerville Watermain/Forcemain Specifications contained <br />in the Contract Special Provisions. <br />Payment for this work shall be at the negotiated unit price which includes all equipment, labor and <br />materials required to perform the work (including Prime Contractor Allowance). <br /> <br />Estimate of Cost <br /> <br />Increase <br />Descriotion <br />Repair Sanitary Manhole <br /> <br />Unit <br />LS. <br /> <br />Q1y" <br />1 <br /> <br />Unit Price <br />$790.00 <br /> <br />Amount <br />$790.00 <br /> <br />Total Increase this Work Order $790.00 <br />Distribution: 100% Group 3,S.P. 02-614-24 (100% City of Centerville) <br />Received by: Issued by: <br /> <br />~DD.U .~A.J'E. P<i i bCl<-..4""TJ1: i,M/" <br /> <br /> <br />:4~ <br /> <br />Date: 3-30-1')9 <br /> <br /> <br />Date: t.//i /of <br /> <br />City of Centerville <br /> <br />Original to Contractor <br />Original to Engineer <br />Copy to Contract Administration <br /> <br />;/ <br />