K-2 - Change Order 2 - Boomerang Change - Potter Creek Interceptor Project

Project No: 23014 Contact Name: Ben Carhoff Project Name: Tiffin Potter Creek Sewer Reason/Comments: Furnish and install rip-rap between IDOT culvert and new manhole #13.4 per city request. Price includes cost to furnish and install rip rap, remobilize equipment to project site, place filter fabric beneath rip rap, and finish grade around newly placed rip rap and adjacent manhole #13.4. Final quantity to be determined by rock tickets for material delivered to site in TONS. Proposed 60 tons is only an estimate and shall not be used for final quantity. <table> <tr> <th>ITEM NO.</th> <th>ITEM DESCRIPTION</th> <th>QTY</th> <th>UNIT OF MEASURE</th> <th>UNIT PRICE</th> <th>EXTENDED PRICE</th> </tr> <tr> <td>New</td> <td>Rip Rap, Class E Revetment</td> <td>50.00</td> <td>TONS</td> <td>122.00</td> <td>$6,100.00</td> </tr> </table> TOTAL FOR REQUEST FOR CHANGE $6,100.00 ADDITIONAL WORKING DAYS - Owner Representative Name (print) Signature Date Keegan Parizek Keegan Parizek 2/28/2024 Boomerang (print name) Signature Date