K-4 - Change Order #11 - Rathje Construction - Original Town Phase Two

CHANGE ORDER DATE: 19 November, 2021 Change Order No: 11 (eleven) Agreement Date: 5 May, 2020 PROJECT: Original Town Urbanization Project: Phase Two HFC#12218.13123 OWNER: City of Tiffin, IA CONTRACTOR: Rathje Construction DESCRIPTION OF CHANGES TO CONTRACT DOCUMENTS: In addition to the information in COR #12 The existing throat of the intake was cracked and deteriorated. The throat would have required replacement in the near future. See attached COR #12. CONTRACT PRICE CHANGES: Original CONTRACT PRICE: $ 1,824,618.96 CONTRACT with LAST CHANGE ORDER: $ 1,870,445.54 THIS CHANGE ORDER AMOUNT: $ 2,800.00 NEW CONTRACT PRICE: $ 1,873,245.54 CONTRACT TIME CHANGES CONTRACT TIME (increased)(decreased): ____________________________ NEW Completion Date: _______________________________________ APPROVALS REQUIRED: To be effective this Order must be approved by the OWNER. OWNER: ______________________________________________________ CONTRACTOR: See Attached COR#12 ENGINEER: __________________________________________________