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CHANGE ORDER FORM
CHANGE ORDER NO.: 3
Owner: Village of Springville
Engineer: Square Engineering D.P.C.
Contractor: PPR Energy Solutions
Project: EV Charging Station Project
Springville
The Contract is modified as follows upon execution of this Change Order:
Description: The Contractor will contract directly with the Utility {including payment of all fee’s}
to upgrade the utility-side electrical service required to power the new charger. This scope was
not included in the original contract.
Change
in Contract Price
Original Contract Price:
$ _162, 588.76
Contract Price prior to this Change Order:
$ _ 162, 588.76
tnerease
this Change Order:
$ 38,320.00
Contract Price incorporating this Change Order:
$ _ 200,908.76
Authorized by Owner
By:
Title: Signature
Signature
EFCDC® C-941, Change Order.
Copyright® 2018 Hational Society of Professional Engineers, Americen Council of Engineering Companies
and Amarican Sodaty of Civil Engineers. Alt rights reserved.
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