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CITY OF SOUTH BEND, INDIANA <br />♦Y yUUTy gEry <br />°7 <br />DEPARTMENT OF PUBLIC WORKS <br />✓' <br />PROJECT CHANGE ORDER <br />�65 ' <br />DATE: 6/21/2016 0:00:00 <br />PROJECT NO: 116-001 DIVA <br />PROJECT NAME: 116-001 South Bend One-way to Two-way <br />Conversion <br />CONTRACT DATE: 2/26/2016 <br />CHANGE ORDER NO: 2 <br />SUBJECT OF CHANGE ORDER: PCR #2-CORRECTED CO2 - QC/QA HMA pavement converted to <br />HMA Type B Pavement in conjunction with <br />American Structure <br />Point Change Order 6 <br />The original contract sum $ <br />3,228,358.03 <br />Net change by previously authorized change orders $ <br />0.00 <br />The contract sum prior to this change order $ <br />3,228,358.03 <br />By this Change Order, the project amount is 0 Increased <br />Decreased $ <br />43,825.41 <br />The new contract sum including this change order $ <br />3,272,183.44 <br />This Change Order represents a total change of <br />1.36 % <br />Total change for entire project <br />1.36 % <br />Original contracted completion date/time 6/1/2017 <br />Extension of date/time by previous change orders 0 days <br />Date/time extension by this change order 0 days <br />New completion date/time 6/1/2017 <br />CONTRACTOR RECOMMENDED FOR APPROVAL <br />o ra <br />Printed Name and Titl <br />Rieth-Riley Construction CO., INC. <br />Company Name <br />25200 State Road 23 <br />Address <br />South Bend, Indiana, 46614 <br />City, State, Zip <br />CONSTRUCTION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: 9 /� <br />Ga�ilot, President <br />Therese J. Dorau, Member <br />James A. Mueller, Member <br />