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REPORT OF CHANGE ORDERS AUTHORIZED FOR THE PERIOD OF: 12/16/2021.12/31/2021 Legend: Co Change Order SA Supplemental Agreement PS Professional Services C Construction PTA Price Term Agreement , Gs Oilier Goods&Services Original - Original %of Cumulative %of Execution Joh Contract Project ma') Dept. Contract Contract CO/SA CO/SA Orig CO/SA Orig Contractor Project Project Purpose Date # # 110e Type Amount Date No. Amount Coot Total Cont Manager Status Incorporate an archeological inventory survey as determined by the State 12/21/2021 NA C.008092 Environmental Assessment for the proposed North Kona Sewer Pump Station CO DEM $314,000.00 11/25/2019 1 $67,790.54 21.59% $67,790.54 22%Wilson Okamoto Corporation Eric Takamura Open Historic Preservation Division. Acclaim Insurance Management 12/23/2021 RFP#3936 C.008247 Workers compensation claims management and adjusting services,COH SA Fin $79,547.00 4/4/2020 2 $84,392.00 106.09% $166,326.00 209%Services(AIMS) Steve Wilhelm Open Exercise option year beginning April 1,2022 and ending March 31,2023. 12/29/2021 NA C.009048 Provide upgrade to two(2)donated hydrogen buses,MTA,COH SA MTA $244,044.00 2/17/2021 1 $0.00 0.00% $0.00 0%US Hybrid John Andoh Open No cost time extension to complete upgrade of the hybrid drive systems. HMP,Inc.Dba Business Services Exercise six(6)month extension beginning December 23,2021 to June 12/29/2021 IFB#3763 PTA PTA for furnishing mixed metal and white goods recycling services,COH SA Fin $0.00 12/13/2018 3 $0.00 0.00% $0.00 0%Hawaii Steve Wilhelm Open 22,2022. Provide whole effluent toxicity testing in compliance with the Department of Health,DEM, 12/29/2021 IFB#3959 C.009628 COH SA Fin $12,000.00 8/3/2020 2 $13,200.00 110.00% $25,800.00 215%Bio Aquatic Testing,Inc. Steve Wilhelm Open Exercise option year beginning April 1,2022 and ending March 31,2023. Contracts Total 0�ginal Contract Total CO/SA 5 for Period $649,591.00 5 Total CO/SA $165,382.54 Amount for Period