028-20 - Hugh G. Goldsmith & Associates, Inc. - Supplement / Change Order 1II CITY OF PORT ORCHARD II
Authorization for Change Order #1
Date: 3/30/2020
Anderson Hill/Old Clifton
Project: Road Annexation ROW
Contract / Job #
CO28-20
Contractor: Hu h G. Goldsmith L Assoc. c.
215 14th ve SE
Bellevue, WA 98004
(425) 462.1080
Brief Description of Change Order work (Documentation to be attached): Contract Time
Extension from 3/31 /2020 to 6/30/2020.
Contract History
$ Date Appvd b
Original Contract
$2,000.00
12-Feb-20
PWD
Change Order 1
$0.00
30-Mar-20
PWD
Change Order 2
Change Order 3
Total Contract $2,000.00
I have reviewed the Change Order information above and certify that to the best of my
knowledge descriptions and costs are true and accurate.
Submitted by:
Title: Public-Worlt"s Director/City Engineer
Change Orders over $15,000 up to $24,999 are to be
Approved by the Mayor.
Approved:
Change Orders over $25,000 require
Council action.
Mayor
Attest:
City Clerk
Council Approval Date
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Common/CITY OF PORT ORCHARD change order