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Change Order Form �Bonestroo <br /> File No: 000139-08032-0 <br /> Project Name: Crystal Bay Business Center City Watermain Replacement <br /> Client: City of Orono <br /> Contractor: Burschvilie Construdion <br /> Prepared By: Jared Ward Date Needed: 10/13/08 <br /> Change Order No: 1 Draft or Final: <br /> If applicable,include: MSA No.,MSA(Non)Participating;MSA Item No's.,Projed No.,Time Extension,FmHA,MPCA, <br /> No.of Additional Copies(5+) Other <br /> Description of Work: <br /> Item 1: Additional crew time spent handiing contaminated material onsite. <br /> Item 2: Additional time and material costs to connect to existing 2" copper service and insulation for service to ABC and Ryan Building. <br /> Item 3: Connedion to additional copper service to building east of the Crystal Bay Business Center site. <br /> Bonestroo�.�CS.][Change Order Form-t jtw][VLM 027307] Page 1 of 2 <br />