Northwest Corporation Inc 4/20/2022 Change Order 1

DocuSign Envelope ID:91BC6D4E-D200-45EA-8C11-BC3801D55A0C PROJECT: Por of Everett Combined Sewer Main Improvements Work Order Number: UP-3768 WORK CHANGE DIRECTIVE: No. 01 DATE OF ISSUANCE: You are directed to proceed promptly with the following change (s): Description: 1. Install 12 inch PVC Sewer Force Main Pipe Restraints on all bends, fittings, and placed 2 joints past each fitting in either direction, as recommended by the Engineer. The City of Everett accepts the $320.00 cost per each to purchase and install 26 restraints for a total cost, plus markup of$8,320.00.00 Purpose of Work Change Directive: To provide more stability on the 12 inch force main during pressure testing and during surges in force main system. Attachments: (List documents supporting change): Northwest Construction Serial Letter NO. 5 If a claim is made that the above change(s) have affected Contract Price or Contract Times, any claim for a Change Order based thereon will involve one or more of the following methods of determining the effect of the change(s). Method of determining change Method of determining change In Contract Price: in Contract Times: Unit Prices ❑ Contractor's records ❑ Lump Sum ❑ Contract Documents ❑ Other—Time & Materials-If Needed ❑ Other Inspector's records Estimated increase (decrease) in Contract Price: Estimated increase(decrease) in Contract Times: TBD Substantial Completion TBD days: If the change involves an increase, the Ready for final payment TBD days: estimated amount is not to be exceeded If the change involves an increase,the estimated without further Authorization. times are not to be exceeded without further Authorization. ACCEPTED: Northwest Construction AUTHORIZED: City of Everett ,-DocuSigned by: DocuSigned by: By: Date:3/30/2022 I 9 5 z,t TA vitAi, Date 3/30/2022 10:01 AN � ggygidiftjgnature) 8c27B7A24 14Authorized Signature) 13C)17/32 TBD=To be determined Page 1 of 1