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069-21 - Technical Systems, Inc. - Supplement / Change Order 1Authorization for Change Order No. 1 Date: September 7, 2021 Project: SCADA Wireless Contract /Job # Communications Panel Build C069-21 Contractor: Technical Systems, Inc. 2303 196" St SW Suite B Lynnwood, WA 98036 This Change Order Authorizes an extension to the contract termination date only for C069-21 due to delays in materials for the fabrication of the control panel. The contract termination date shall be extended to December 31, 2021. Amount Contract Sales Tax History Total Date Appvd b Original Contract $141400.00 $1,296.00 $15,696900 07-Juk21 Mayor Change Order 1 $0.00 $0.00 $0.00 07-Se -21 PW DIRECTOR Total Contract $14,400.00 $10296.00 $151696.00 I have reviewed the Change Order information above and certify that to the best of my knowledge descriptions and costs are true and accurate. Contractor Approval Signature Printed Name & Title v MARK R. DORSEY, P.E. Printed Name Change Orders that do not exceed 10%, with a maximum of $50,000, of either legally authorized budget Ilmit or contract Approved amount established by City Council can be approved by the Public Works Director, Change Orders that do not exceed 10%, with a maximum of Attest: $100,000, of either legally authorized budget limit or contract amount established by City Council are to be approved by the Mayor. Change Orders over $100,000 or exceed a total of 10% require Council Action. Mayor City Clerk Council Approval Date U:\1_Adminstrallonw Systems&AsseiManagemenlSupport\Telemetry_SCADA ShakeAleri\TelemetrylSCADA\Wireless Communication Panel\ContractlCOH1-0069-21-TSl doc