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.