2017-188 EMS Change Order 2 CHANGE ORDER FORM CAP701 Change Order Number: Chan_qe Order Date:
12/21/2017
To. Architect's Project Number 17-001G
-TOWN OF WAPPINGER Contract for: Contract Date: 11108/2017
20 MIDDLEBUSH ROAD
WAPPINGER FALLS. NY 12569 GENERAL CONSTRUCTION
EEO M: Our Project Code: 17-001G
J C MILLBANK CONSTRUCTION CO INC
1 .2.8 DRAKE ROAD pml—ect.
PLEASANT VALLEY, NY 12569 EMERGENCY SERVICE BUILDING
16 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
DISTRIBUTE TO:
Original Contract Sum: $563,500.00 Owner Contractor Other
Previous Change Orders: $58,976.00 Architect Field Construction Manager
Contract Sum: $622.476.00 The Contract Completion date will change bv:
Value of this Change Order: $15,055-00 0
New Contract Sum: $637,531.00 The eXpeqtqd qqMpIttion date will be:
5/16/2018
The Contract is Changed as Follows;
Change order#2 per plan SK-1 dated 12/13/17
Breakdown per J C Millbank letter dated 12/18/2017
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Archlrt,ect Contractor Owner
MORRIS ASSOCIATES J C MILLBANK CONSTRUCTION CO INC TOWN OF WAPPINGER
9 ELKS LANE 128 DRAKE ROAD 20 MIDDLEBUSH ROAD
POUGHKEEPSIE, NY 12601 PLEASANT V6LLEY, NY 12569 WAPPINGER FALLS, NY 12569
�nratuieSignaturel
Signature
Date Date Date