09.02 Maintenance Facility Project - Potential Closeout of Contract

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� Document G701� - 2017 Change Order PROJECT:(Name and address) CONTRACT INFORMATION: CHANGE ORDER II�ORMATION: WSN No.0130B0063.000 Pequot Lakes Conhact For:General Construction Chenge Order Number: 1 Msintenance Dept.Gatage Pequot Lakes,IvIIV Date:February 22,2018 Date:October 18,2018 OWNER:(Name and address) ARCHITECT:(Name and address) CONTRAC70R:(Name and address) City of Pequot Lakes Widseth Smit6 Nolting&Assoc.,Inc. Boser Conahuction,Inc. 4638 Msitl Street 7804 Industrisl Pazk Rosd 7135 Sth Avenue NE Pequot Lakes,MN 56472 PO Box 2720 Sauk Rapids,MN 56379 Baxtex,MN 56425 THE CONTRACT IS CHANGED AS FOLLOWS: (Insert a detailed description of the change and,if applicable,attach or reference specific exhibits.Also inctude agreed upon adjustments attributable to executed Construction Change Directives.) Liquidated Damages 5500 x 13 days= Deduct 56,500.00 The original Contract Sum was S 894,000.00 The net change by previously suthorized Change Orders ; �•� The Contract Sum prior to this Change Order was s 894 D00.00 The Conhact Sum will be decreased by this Change Order in the amount of s 6,500.00 The new Con�act Sum including this Change Order will be S 887,500.00 The Contract Time will be unchaaged by Zero(0)days. The new date of 5ubstantial Completion will be uncbanged. NOTE:This Change Order does not include adjustments to the Contract Sum or Guaranteed Maxunum Price,or the Contract Time,that have been authorized by Construction Change Direcrive until the cost and time have been agreed upon by both the Owner and Contractor,in which case a Change Order is executed to supersede the Construc6on Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT,CONTRACTOR AND OWNER. 'dseth Smith Nolti & ssoc.,Jna Boser Construction,Ina City of Pequot Lakes ARC CT(Fir CONTRACTOR(Firm name) OWNER(Firm name) 81GNA UR SIGNATURE SIGNATURE Douglas A Archer PRINTED NAME AND TITLE PRINTED NAME AND TiTLE PRINTED NAME AND TITLE ►o%ts/n.ota DA DATE DATE AIA Docum�nt G701�—2017.CopyrigM m 1979,1987,2000,2001 end 2017 by The Amer�an InstlWte of Architecta.Ail riphts rourved.WARNING:This AIAm DoeumaM is probcted by U.S,CopyrlpM Lew end Irhem�lonal Tn�tfea.Unauthorizod nproduction or dlatribution of ffiia AIA�Docum�nt,or .) any portlon of It,may rosult in savan civll and criminal penaltiss,and wlll bo pro�ecubd to tf»maximum extsnt posslble undsr the law.This document was produced by AIA soRware et 15:13:�on 1 0/1 812 0 1 6 under Order No.3099316714 which expi►ee on 01/10/2019,and ia not fa resele. U�er Nobs: (369ADA27)