K-5 - Change Order 10 - Rathje Construction, Original Town Phase Two

CHANGE ORDER DATE: 8 November, 2021 Change Order No: 10 (Ten) 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: Connect downspouts at Fire Station to storm sewer. See attached COR #11. CONTRACT PRICE CHANGES: Original CONTRACT PRICE: $ 1,824,618.96 CONTRACT with LAST CHANGE ORDER: $ 1,866,195.54 THIS CHANGE ORDER AMOUNT: $ 4,250.00 NEW CONTRACT PRICE: $ 1,870,445.54 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#11 ENGINEER: ________________________________________________