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039-20 - Northwest Cascade, Inc. - Supplement / Change Order 1CITY OF PORT ORCHARD Authorization for Change Order No. 1 Date: 6/3/2020 4330 Bethel Road Grinder Project: Pump/Sewer Connection Contract / Job # C039-20 Contractor: Northwest Cascade, Inc P.O. Box 73399 Puyallup, WA 98373 THIS CHANGE ORDER AUTHORIZES A TIME EXTENSION ONLY — EXTEND CONTRACT END DATE TO JUNE 30u', 2020. Amount Contract History Sales Tax Total Date Appvd Original Contract $14 800.00 $1332.00 $16,132.00 15-A r-20 COUNCIL Change Order 1 $0.00 $0.00 $0.00 03-Jun-20 PW DIRECro Total Contract $0.00 $1,332.00 $16,132.00 I have reviewed the Change Order information above and certify that to the best of my knowledge descriptions and costs are true and accurate. -10 Contractor Appr6Val Signature 2-Al—R TEGS Printed Name & Title lklblic Works ector/City Engineer 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 limit 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 C.alserekndmey%PWW all.ocallMicr am"rzbwaVNotCed*Contml.OudwklWfU1 D7PP%Change Order t_Northwest Cascade.doc Page 1