K-3 - Change Order #17 – Rathje Construction, Original Town Urbanization Phase Two

Request For Change To: RATHJE CONSTRUCTION CO PO Box 408 305 44th Street Marion, IA 52302 Project: Tiffin Urbanization Phase 2 RFC No: 04 Date: 6/7/2022 Description: SE corner of 2nd St & Main St had a damaged handhole in the way of new sidewalk. Work was performed on a time and material basis to provide a new handhole tier 15 rated and install it out of the way of the new sidewalk. Material - 880 Labor - 760 Equipment - 425 The above work is subject to the same conditions as specified in the original contract unless otherwise stipulated. Upon approval the sum of $2,065.00 will be added to the contract price. Authorized Signature: ________________________________ Date: __________ Price Electric LLC Authorized Signature: ________________________________ Date: __________ RATHJE CONSTRUCTION CO