Change Order No. 4 - WWTP Secondary Treatment Improvements Proj No. 114-053 Thieneman

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CITY OF SOUTH BEND, INDIANA WWTP SECONDARY TREATMENT IMPROVEMENTS CITY PROJECT NO. 114-053 CHANGE ORDER PROPOSAL Change Order Proposal No.: 114-053-0012-DI(R2) Date: 6/21/16 Submitted in Response to Proposal Request No.: Contract Name and No.: 114-053 South Bend W WTP Secondary Treatment Improvements Contractor: Thieneman Construction, Inc. Subject: Demo and Replace Eight (8) Existing 14" Air Lines with New Foreign Ductile Iron Piping. The use foreign steel materials is prohibited by CO #2, but was specifically requested by Jacob Klosinski, City of South Bend. The following changes to the Contract are proposed: SCOPE OF WORK: (attach and list supporting information as required) 1. Item: TCI — See attached Breakdown $156,319 2. Item: Davidson -Finch Painting — Prep/Paint Piping and New Concrete $8,888 3. Item: Indiana Concrete Cutting $16,880 JUSTIFICATION: 1. Item: Owner Request CHANGES IN CONTRACT PRICE AND CONTRACT TIMES: We propose that the Contract Price and Contract Times be changed as follows: For Contract Price, when requested by Engineer, attach detailed cost breakdowns for Contractor and Subcontractors, Supplier quotations, and other information required. For the Contract Times, state increase, decrease, or no change to Contract Times for Substantial Completion, readiness for final payment, and Milestones, if any. If increase or decrease, state specific number of days for changes to the Contract Times. Description Amount Contract Times (days) Substantial Final 1. Item—TCl/Davidson-Finch/ICC $182,087 56 56 2. Item — Marku : TCI 15% / Subs 5% $24, ?36 0 0 Total This Change Order Proposal $206,823 56 56 Changes to Milestones, if any: The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it is entitled as a result of the proposed change. Change Order Proposal By: Allen Gaarder Signature of Proposer: