K-7 - Change Order 7 - Roberts Ferry Road - Vieth Construction

Accounting ID No.(5-digit number):35177 Form 831240 (08-18) Change Order No.:7 F - Items included in contract: For deductions enter as Participating "-x.xx" Federal- State- Line Unit Price Quantity Amount Item Description aid aid Number .xx .xxx .xx X 0010 Clearing & Grubbing $7,500.00 0.160 $1,200.00 X 0020 Clearing & Grubbing $8.00 672.300 $5,378.40 X 0070 Modified Subbase $28.00 -2,993.380 -$83,814.64 X 0120 Std or Slip Form PCC Pavement Cl 3, Cl C, 9 In $53.50 -10.320 -$552.12 X 0140 Hot Mix Asphalt, Driveway $56.00 -154.500 -$8,652.00 X 0430 Removal of Sidewalk $8.00 -31.800 -$254.40 X 0440 Sidewalk, PCC, 4 inch $36.00 -11.880 -$427.68 X 0450 Sidewalk, PCC, 6 inch $45.50 -36.310 -$1,652.11 X 0470 Driveway, PCC, 6 inch $50.00 189.500 $9,475.00 X 0480 Removal of Paved Driveway $7.00 -706.820 -$4,947.74 Add Row Delete Row TOTAL -$84,247.29 G - Items not included in contract: For deductions enter as Participating "-x.xx" Federal- State- Change Unit Price Quantity Amount Item Number Item Description aid aid Number .xx .xxx .xx Payment Adj. Disincentive X 8005 2301-7000110 ($3,008.45) 1.000 -$3,008.45 for PCC Pavement Thickness Price Adjustment PCC X 8006 2599-9999005 ($330.00) 1.000 -$330.00 Pavement Smoothness Price Adjustment Non- X 8007 2599-9999005 Complying Traffic Control ($500.00) 1.000 -$500.00 Diary 8998 6200-1108010 Liquidated Damages ($1,000.00) 39.000 -$39,000.00 -42,838.45 Add Row Delete Row TOTAL -$42,838.45 Page 3 of 4