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Date Submitted: <br />CONTRACTOR'S PROPOSAL REQUEST <br />(Not a Change Order) <br />, 2017 No. <br />TO: <br />PROJECT: SID COPELAND WATER TREATMENT PLANT HIGH ZONE / MID ZONE PUMP STATION <br />OWNERS PROJECT NUMBER: 051-499-55450-38 <br />OWNER: CITY OF LOUISVILLE, COLORADO <br />We hereby request the cost of the following proposed change in the Contract. A breakdown of the proposed cost is <br />attached. <br />Description of the proposed change: <br />All work shall be in accordance with the terms, stipulations, and conditions of the Contract Documents. If the Work herein <br />requested is approved by Change Order, the time of completion will be (increased), (decreased), (unchanged) by <br />calendar days. <br />New Substantial Completion Date: 2017 <br />This change will: <br />_ Increase the Contract by $ <br />_ Decrease the Contract by $ <br />No change in the Contract <br />SUBMITTED BY CONTRACTOR CITY OF LOUISVILLE <br />BY: Contractor's Proposal Request Accepted <br />DATE:_ Contractor's Proposal Request Not Accepted <br />DATE: BY: <br />CITY OF LOUISVILLE <br />HVAC IMPROVEMENTS FOR HBWTP <br />30 <br />DATE: <br />TITLE: <br />00 52 00 - 18 <br />AGREEMENT <br />