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2005-033
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2005-033
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Entry Properties
Last modified
7/6/2016 2:00:33 PM
Creation date
9/30/2015 7:40:41 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Change Order
Approved Date
01/18/2005
Control Number
2005-033
Agenda Item Number
11.J.1
Entity Name
Summit Construction
Subject
Utilities Operations Complex Change Order No. 1
Area
Operations Complex
Project Number
6037
Bid Number
7026
Archived Roll/Disk#
4000
Supplemental fields
SmeadsoftID
3869
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CERTIFICATION OF ENGINEER / INSPECTOR : <br /> 1 have checked the estimate against the Contractor's Schedule of Amounts for Contract <br /> Payments and the notes and reports of my inspections of the project. It is my opinion that this <br /> statement of work performed and/or materials supplied is accurate , that the Contractor is <br /> observing the requirements of the Contract, and that the Contractor should be paid the amount <br /> requested above . <br /> Dated <br /> (ARCHITECT / ENGINEER) SIGNATURE <br /> Accompanying Documentation : <br /> [The Remainder of Page Intentional Left Blank] <br /> i <br /> • <br /> IRC OPERATIONS COMPLEX 00622 - 3 00622 — Contractor's Application for Payment <br />
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