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078-19 - Kitsap Moss Removal, LLC - Supplement / Change Order 1C TY OF PORT ORCHARD Date: December L3,2OL9 Author zation for Change Order No. 1 Contractor: Kitsap Moss Removal Proiect: Contract I lob * City Hall Roof & Gutter Maintenance 5594 NE Minder Road STE 8101 c078-19 Poulsbo, WA 98370 THIS CHANGE ORDER AUTHORIZES A T ME EXTENSION ONLY DUE TO WEATHER. THIS CHANGE ORDER EXTENDS THE CONTRACT END DATE TO JANUARY 31ST 2020. Amount Contract History Sa es Tax Total Orieinal Contract 57,425.25 Srzs.ss St,ss+.st 25-Nov-19 MAYOR Change Order 1 So.oo So.oo so.oo 13-Dec-19 PW DIRECTOR Total Contract So.oo Srza.rs s1,554.61 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 Signatu re P lic Wor rector/City Engineer MARK R. DORSEY, P.E. Printed Name & Title Printed Name t )/ Change Orders that do not exceed 10%, with a maximum of 550,000, of either legally authorized budget limit or contract amount established by City Council can be approved by the Public Works Director. Change Orders that do not exceed 10%, with a maximum of S100,000, 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 tO% require Council Action. Approved: Attest: Mayor City Clerk Council Approval Date U:\ENGINEERING\CITY FACILITIES\CITY HALL\2019\Roof & Gutter Cleaning\C078-19 Page 1 -Change Order 1 - Kitsap Moss Removal doc zr: