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<br />,21-lf <br /> <br />I <br /> <br />PFL-TEX-211 <br />Project No. WPC-TEX-479 <br /> <br />Contract No. <br /> <br />Change Order No. 3 <br /> <br />REQUEST AND JUSTIFICATION FOR CHANGE <br /> <br />1. Necessity for change: <br /> <br />See Attached Engineer~ Statement <br /> <br />2. Is proposed change an alternate bid? <br /> <br />DYes <br /> <br />g]No <br /> <br /> <br />II <br /> <br />3. Will proposed change alter the size of the project? <br />If yes, explain. <br /> <br />DYes <br /> <br />[Xl N~ <br /> <br />4. Effect of this change on other prime contractors: <br /> <br />Additional Coordination With The Electrical Subcontractor <br /> <br />5. Has consent of surety been obtained? <br /> <br />DYes <br /> <br />G'Not necessary <br /> <br />6. Will this change affect expiration or extent of insurance coverage? <br />If yes, will the policies be extended? 0 Yes 0 No <br /> <br />DYes <br /> <br />t:J No <br /> <br />7. Effect on operation and maintenance costs: <br /> <br />I <br /> <br />9/. <br />//C~~~ <br /> <br />" Owner <br />(:1.";':; ()F S/\j\] JviARC(J~ <br /> <br />(t, <br />~',' <br /> <br /> <br /> <br />See Attachcd Engineel!"S Statement <br /> <br />'2\7S2l~P <br /> <br />HUO..Wash., D. C. <br />