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2025-229A
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2025-229A
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Last modified
11/14/2025 12:28:33 PM
Creation date
11/14/2025 12:21:53 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Change Order
Approved Date
10/07/2025
Control Number
2025-229A
Agenda Item Number
16.B.7.
Entity Name
CK Contractors & Development
Subject
Change Order #2 for IRC Landfill Improvements – Automated Scale Lane Project
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TIS> <br />Insurance Services, Inc. <br />C K Contractors and Development, LLC (BONDS) <br />iioo Technology Place, Suite 122 <br />West Palm Beach, FL 33407 <br />Insured's Name <br />CK CONTRACTORS & <br />DEVELOPMENT <br />E-2 <br />1900 K Winstcn Road I S lite 100 1 Knoxville. TN 37919 <br />PO Box 10328 1 KnoxviNe, TV 31939.0328 <br />p 800 328 0293 1 865 691.4847 <br />f: 865.694.4847 <br />tisins.com <br />Invoice <br />Account 00053524 <br />Policy 7901142853 <br />Invoice <br />Date July 30, 2025 <br />Page 1 <br />Account Executive <br />Jim Oakes <br />Account Representative <br />Lavonne Sh -rrod <br />Policy Number <br />ExpirationDate <br />Company <br />Description <br />Amount <br />7901142853 <br />2/20/2026 <br />Nationwide Insurance <br />IRC Landfill Imps —Auto. Scale <br />$1,703.00 <br />CO#52o6-3.2 Incr. $201,135• <br />Invoice <br />Payment due on effective date unless otherwise noted. <br />TIS Insurance Services, Inc. Date <br />(865)691-4847 July 30, 2025 <br />We appreciate your business. <br />
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