055-17 - Puget Paving & Construction - Supplement / Change Order 1Authorization for Change Order No. 1
Date: March 13, 2018
2017-2018 Roadway Asphalt
Project: Repair
Contract / Job # C055-17
Contractor: Puget Paving & Construction
10817 2Vh Avenue S
Lakewood, WA 98499 i Y
THIS CHANGE ORDER AUTHORIZES A TIME EXTENSION ONLY. CONTRACT COMPLETION DATE
EXTENDED TO JULY 15Tn 2018.
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 Signat Public' s Oir by Engineer
MARK R. DORSEY, P.E.
Printed Name & Title d Printed Name
Change Orders that do not exceed 10%, with a maximum of
$50,000, of either legally authorized budget limit or contract Approved:
amount established by City Council can be approved by the Public Mayor
Works Director.
Change Orders that do not exceed 107o, with a maximum of Attest:
$100,000, of either legally authorized budget limit or contract City Clerk
amount established by CityCouncil are to be approved by the
Mayor.
Change Orders over $100,000 or exceed a total of 10% require
Council Action.
Council Approval Date
❑1ENGiNEERINGt51REEnPavingi2Ut7\City PavinglPugot Paving& Cansbuctl0MChange Order 1_C055-17Pagel Paving& Cona4doc
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