contract agreement · K-4

K-4 - Change Order 15, Rathje Construction - Original Town Phase Two

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Date: February 8, 2022 To: Ben Carhoff Project: Tiffin Original Town Urbanization Phase II Re: COR # 16 Rathje # 7187 Ben, I am hereby submitting the following change order request for the brick pavers for phase # 3 of the Tiffin Urbanization Project. <table> <tr> <th>Item</th> <th>Description</th> <th>Qty</th> <th>Unit</th> <th>Unit Price</th> <th>MU</th> <th>Unit w/ MU</th> <th>Total</th> </tr> <tr> <td>Brick Pavers (Furnish Only)</td> <td></td> <td>686.54</td> <td>SY</td> <td>$61.29</td> <td>10.00%</td> <td>$67.42</td> <td>$46,285.84</td> </tr> <tr> <td colspan="7">Total</td> <td>$46,285.84</td> </tr> <tr> <td>Additional Days Requested</td> <td></td> <td>0 EA</td> <td></td> <td></td> <td></td> <td>Total</td> <td>0.0</td> </tr> </table> Please call if you have any questions. Respectfully, Dan Scofield

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