Finance Committee - Agenda - 9/7/2016 - P80

16110D CO#13

(Black) _
TOTAL $22,627.50
Federal Participation Requested: Yes Contractor: PRIME CONTRACTOR
Contract Extension Granted: No S.A. Approved by:
Contractor’s Representative
Warking Days Authorized:
Carissa Traill
NHDOT Contract Administrator

Do Not Write Below This Line - For Office Use Only

FHWA _ PRIME CONT. ADMIN. __s«s FINANCE & CONTRACTS ___ DATE

* Information on this page is for estimating purposes only and may/may not reflect the actual agreed upon change order amount.

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