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Document G701 ® 2001
Change Order
Please return this copy to:
City Clerk & Finance Department
715 Mulberry Street
Waterloo, IA 50703
PROJECT (Name and address):
12032 City of Waterloo Clerk's Office
Renovation
CHANGE ORDER NUMBER: 002
DATE: 08/29/2012
TO CONTRACTOR (Name and address): ARCHITECT'S PROJECT NUMBER: 12032
Prairie Construction Services, Inc.
321 West 18th Street
Waterloo, Iowa 50702
CONTRACT DATE: June 19, 2012
CONTRACT FOR: General Construction
OWNER: ❑
ARCHITECT: ❑
CONTRACTOR: ❑
FIELD: ❑
OTHER: ❑
THE CONTRACT IS CHANGED AS FOLLOWS:
(Include, where applicable, any undisputed amount attributable to previously executed Construction Change Directives)
Revise area in mail room; eliminate demolishing the existing ceiling in lobby and install new ceiling below existing. Add $
5,244.00
The original Contract Sum was
The net change by previously authorized Change Orders
The Contract Sum prior to this Change Order was
The Contract Sum will be increased by this Change Order in the amount of
The new Contract Sum including this Change Order will be
The Contract Time will be increased by Zero (05) days.
The date of Substantial Completion as of the date of this Change Order therefore is
$ 97,800.00
$ -21390.00
$ 76,410.00
$ 5,244.00
$ 81,654.00
NOTE: This Change Order does not include changes in the Contract Sum, Contract Tune or Guaranteed Maximum Price which have
been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and
Contractor, in which case a Change Order is executed to supersede the Construction Change Directive.
NOT VALID UNTIL SIGNED BY THE
INVISION Architecture, LTD
ARCHITECT, CONTRACTOR AND OWNER.
ARCHITECT (Firm name)
501 Sycamore #101, PO Box 1800,
Waterloo,.IA 50704-1800
ADDRESS
BY (Signature) I
Michael Broshar, FAIA
(Typed name)
DATE
Prairie Construction Services, Inc.
CONTRACTOR (Firm name)
321 West 18th Street, Waterloo, Iowa
50702
ADDRESS
BY (Signature)
Chuck Seastrand
(Typed name)
DATE
City of Waterloo
OWNER (Firm name)
City Hall, 715 Mulberry Street, Waterloo,
Iowa 50703
SS
Y (Signature)
-1r&c5+ .
(Typed name)
ILb bet?
DATE
, -
DATE
AIA Document G7017" —2001. Copyright m 1979, 1987, 2000 and 2001 by The American Institute of Architects. All rights reserved. WARNING: This AIA®
Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA Document, or any
portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This documentwas
produced by AIA software at 07:01:57 on 08/29/2012 under Order No.8204059657_1 which expires on 07/19/2013, and is not for resale.
User Notes: (1295068021)
PROPOSAL REQUEST
Project: City Hall Clerk's Office Renovation PR #: 02
Project Number: 12032 Date: 08/15/2012
Owner: City of Waterloo Description:
Mail Room Revsion
Owner Contact: Craig Clark
Contractor: Prairie Construction Services
Contractor Contact: Bill Smart
Contract Date:
Please submit an itemized quotation for changes in the contract sum and/or time incidental to proposed modifications to the
contract documents described herein. THIS IS NOT A CHANGE ORDER OR A DIRECTION TO PROCEED WITH THE WORK
DESCRIBED HEREIN.
Description: Submit pricing to revise plan at mail room as shown on attached drawings.
Also submit amount to eliminate demolishing the existing ceiling in lobby. Install new ceiling below existing.
Net amount of this Proposed ChangDeduct) (No C, s e)
Net Change in Working Days Due to this Proposed Chang: Deduct) (No Change)
CONTRACTOR:
BY:
DATE:
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=PAINDocument G7OITM - 2001
Change Order
Please return this copy to:
City Clerk & Finance Department
715 Mulberry Street
Waterloo, IA 50703
PROJECT (Name and address):
12032 City of Waterloo Clerk's Office
Renovation
TO CONTRACTOR (Name and address):
Prairie Construction Services, Inc.
321 West 18th Street
Waterloo, Iowa 50702
CHANGE ORDER NUMBER: 002
DATE: 08/29/2012
ARCHITECT'S PROJECT NUMBER: 12032
CONTRACT DATE: June 19, 2012
CONTRACT FOR: General Construction
OWNER: ❑
ARCHITECT: ❑
CONTRACTOR: ❑
FIELD: ❑
OTHER: ❑
THE CONTRACT IS CHANGED AS FOLLOWS:
(Include, where applicable, any undisputed amount attributable to previously executed Construction Change Directives)
Revise area in mail room; eliminate demolishing the existing ceiling in lobby and install new ceiling below existing. Add $
5,244.00
The original Contract Sum was
The net change by previously authorized Change Orders
The Contract Sum prior to this Change Order was
The Contract Sum will be increased by this Change Order in the amount of
The new Contract Sum including this Change Order will be
The Contract Time will be increased by Zero (05) days.
The date of Substantial Completion as of the date of this Change Order therefore is
$ 97,800.00
$ -21390.00
$ 76,410.00
$ 5,244.00
$ 81,654.00
NOTE: This Change Order does not include changes in the Contract Sum, Contract Time or Guaranteed Maximum Price which have
been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and
Contractor, in which case a Change Order is executed to supersede the Construction Change Directive.
NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER.
INVISION Architecture, LTD
ARCHITECT (Firm name)
501 Sycamore #101, PO Box 1800,
Waterloo,. IA 50704-1800
ADP SS
1,4,i/114," -°:d
BY (Signature)
Michael Broshar, FAIA
Prairie Construction Services, Inc.
CONTRACTOR (Firm name)
City of Waterloo
OWNER (Firm name)
321 West 18th Street, Waterloo, Iowa City Hall, 715 Mulberry Street, Waterloo,
5071_ Iowa 50703
(Typed name)
DATE
gnature)
Chuck Seastrand
(Typed')
DATE
�
Ate' SS
Y (Signature)
'I ev c3 .
(Typed name)
DATE
AIA Document G701 i°° — 2001. Copyright O 1979, 1987, 2000 and 2001 by The American Institute of Architects. All rights reserved. WARNING: This AIA®
Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA° Document, or any
portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was
produced by AIA software at 07:01:57 on 08/29/2012 under Order No.8204059657_1 which expires on 07/19/2013, and is not for resale.
User Notes: (1295068021)
"r
PROPOSAL REQUEST
Project: City Hall Clerk's Office Renovation PR #: 02
Project Number: 12032 Date: 08/15/2012
Owner: City of Waterloo Description:
Mail Room Revsion
Owner Contact: Craig Clark
Contractor: Prairie Construction Services a
Contractor Contact: Bill Smart g g
Contract Date: ° m "
hN
Please submit an itemized quotation for changes in the contract sum and/or time incidental to proposed modifications to the m s
contract documents described herein. THIS IS NOT A CHANGE ORDER OR A DIRECTION TO PROCEED WITH THE WORK 2 a
DESCRIBED HEREIN. ct
Description: Submit pricing to revise plan at mail roam as shown on attached drawings. o
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Also submit amount to eliminate demolishing the existing ceiling in lobby. Install new ceiling below existing.
Net amount of this Proposed Chang Deduct) (No C
Net Change in Working Days Due to this Proposed Chang
CONTRACTOR:
BY:
Deduct) (No Change)
DATE:
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Change Order
Document G701' - 2001
PROJECT (Name and address): CHANGE ORDER NUMBER: 002
12032 City of Waterloo Clerk's Office
Renovation
TO CONTRACTOR (Name and address):
Prairie Construction Services, Inc.
321 West 18th Street
Waterloo, Iowa 50702
DATE: 08/29/2012
ARCHITECT'S PROJECT NUMBER: 12032
CONTRACT DATE: June 19, 2012
CONTRACT FOR: General Construction
OWNER: ❑
ARCHITECT: ❑
CONTRACTOR: ❑
FIELD: ❑
OTHER: ❑
THE CONTRACT IS CHANGED AS FOLLOWS:
(Include, where applicable, any undisputed amount attributable to previously executed Construction Change Directives)
Revise area in mail room; eliminate demolishing the existing ceiling in lobby and install new ceiling below existing. Add $
5,244.00
The original Contract Sum was
The net change by previously authorized Change Orders
The Contract Sum prior to this Change Order was
The Contract Sum will be increased by this Change Order in the amount of
The new Contract Sum including this Change Order will be
$ 97,800.00
$ -21390.00
$ 76,410.00
$ 5,244.00
$ 81,654.00
The Contract Time will be increased by Zero (05) days.
The date of Substantial Completion as of the date of this Change Order therefore is
NOTE: This Change Order does not include changes in the Contract Sum, Contract Time or Guaranteed Maximum Price which have
been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and
Contractor, in which case a Change Order is executed to supersede the Construction Change Directive.
NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER.
INVISION Architecture, LTD
ARCHITECT (Firm name)
501 Sycamore #101, PO Box 1800,
Waterloo, IA 50704-1800
B (Signature)
Michael Broshar, FAIA
(Typed name)
I'
DATE
Prairie Construction Services, Inc.
CONTRACTOR (Firm name)
321 West 18th Street, Waterloo, Iowa
50702
ADD
BY (Signature)
Chuck Seastrand
City of Waterloo
OWNER (Firm name)
City Hall, 715 Mulberry Street, Waterloo,
o 50�t
Aid
(Typed
DATE
-- s1-- a - CAA
(Typed name)
DATE
AIA Document G7017,4 - 2001. Copyright O 1979, 1987, 2000 and 2001 by The American Institute of Architects. All rights reserved. WARNING: This AIA®
Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AlA® Document, or any
portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was
produced by AIA software at 07:01:57 on 08/29/2012 under Order No.8204059657_1 which expires on 07/19/2013, and is not for resale.
User Notes: (1295068021)