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CHANGE ORDER CHANGE ORDER NO.: 06 PROJECT: 1912 Moscow High School Historic Renovation- Phase 1 9973 INITIATION DATE: January 15, 2002 CONTRACT DATE: February 21, 2001 PROJECT NO.: TO: Citadel C onstructi on, Inc. 10103 N. Divisi on, Suite 105 Sp okane, WA99218 Tel: 509/466-2993 Fax: 509/466-4329 J ob Site Fax: 208/882-4969 OWNER: City of M osc ow P.O. B ox 9203 M osc ow, ID 83843 Tel: 208/883-7087 Fax: 208/883-7093 ARCHITECT: Design West Architects 254E. Main Pullman, W A 99163 TEL. 509/332-3113 FAX 509/332-3327 You are directed to make the following changes in this Contract 1. CPR-43 (PR-19) 2. CPR-49 3. CPR-50 4. CPR-51 5. CPR-52 (PR-26) 6. CPR-54 (PR-24) 7. CCD-03 8. CCAA-02 Kitchen range hood relocation $ 16,224.75 New speaker covers . $ 793.10 Additional costs for hardware delays $ 1,322.50 Additional time and general conditions $ 3,250.00 Installation of missing water line for make-up air unit... $ 1,573.27 Credit for metal comer guards $ (659.81) Additional sprinklers above Great Room stairs $ I ,351.60 Credit for remaining Construction Change Allowance balance $ (6,104.95) (10 days) (I day) SUBTOTAL : $ 17,750.46 Not valid until signed by both Owner and Architect. Signature of Contractor indicates his agreement herewith, including any adjustment in the contract Sum or contract Time. It is further understood and agreed that this change constitutes compensation in full on behalf of the Contractor and its Subcontractors and Suppliers for all costs directly or indirectly attributable to the changes ordered and for any and all delays, impacts, disruptions, accelerations and/or extensions of time related thereto. No other compensation shall be allowed for the Modifications made herewith. The original Contract Sum : $ 1,228,000.00 Net change by previously authorized Change Orders (C.O. $ 51,830.41 The Contract Sum prior to this Change Order was $ 1,279,830.41 The Contract Sum will be increased by this Change Order... $ 17,750.46 The new Contract Sum including tiL; Change Order will be $1,297,580.87 The Contract Time;;;'! be extc ued by (11) calendar days by this Change Order. Page I of2 2002-03 ---PAGE BREAK--- CONTRACTOR: Citadel Construction, Inc. I 0 I 03 N. Division, Suite I 06 Spokane, VVA 99218 (Signature) \ End of Document OWNER: CityofMoscow P.O. Box 9203 Moscow, ID 83843 Marshall H Comstock, Mayor (Printed name and title) (Date) Page 2 of2 ARCHITECT: Design VV est Architects 254 E.Main Pullman, VV A 99163 {.1ignature) {Printed name and title) ---PAGE BREAK--- ACOBlJ,. DATE !MM/DOfYYJ 6/05/02 CERTIFICA Tl OF LIABILITY INS URAl\ I PRODUCER MARSH ADVANTAGE AMERICA A SERVICE OF SEABURY & SMITH PO BOX 2151 _ SPOI \ X 11 CITY OF MOSCOW PO BOX 9203 MOSCOW ID 83843 ' 6- 39 ACORD 25-S (7/971 INSUREDI INSURER LETTER1 A I '-ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELlED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER W!l/---101 MAll lQ._ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, • • €J ACORD CORPORATION 1988 ---PAGE BREAK--- POLICY NUMBER: GLS683656 COMMERCIAL GENERAL LIABILITY CITADEL CONSTRUCTION INC. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-- OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: CITY OF MOSCOW MOSCOW ID (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. CG20 101185 Copyright, Insurance Services Office, Inc., 1984