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25122--Tolleson-Park-Aquatics-Center-002-PCCO-#002-July-2026_CroySigned

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CHANGE ORDER REQUEST 
 
Change Order #  
Change Order Request Date July 14, 2026  
To: Semmes Irby                                   Project: Tolleson Park 
 
The contractor agrees to perform and the owner agrees to                               Plans Attached ______ 
pay for the following changes to the contract.                                      Specifications Attached ______ 
Ordered By: Corey Porter 
Description of Work                                                                                            Amount       
 
Deduct for AED  
Deduct for Training AED 
Total Deductive CO 
$1,687.50  
$475.00 
$2,162.50 
         
Further Description of Work: 
 
 
Requested Amount of Change Order: $2,162.50 Deductive 
This quote is good for 30 days from the date of the Change Order Request 
 
  
Agreed to By: ____________________________ Date____________________________ 
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