HomeMy WebLinkAbout04) Change Order #1 Gohmann Asphalt
CHANGE ORDER - EXTRA WORK AGREE:MENT NO.
1
JOB NO.
9601 CE
Project Name 10th STREET IMPROVEMENTS - PHASE 1
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Contractor Gohmann Asphalt & Construction, Inc.
You are hereby authorized to proceed with the following described change or extra work:
As per attached documentation:
1. Use Plowable Fill at NE corner of Locust Street in order to fill in the
undermined area under the existing concrete pavement found while
installing the downstream end of Str. No. llB (2 cyd @ $100.00)
=
$
200.00
r
The method of payment for this change or extra work shall be:
An additional amount of two hundred dollars and no cents = $200.00
Consulting Engineer:
Date
Owner's Approval:
City of Jeffersonville
Signature of Owner(s)
Date
Contractor's Approval:
Gohmann Asphalt & Construction, Inc.
r uthorized Representative
Title
Date