Laserfiche WebLink
CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CHANGE ORDER NO. <br />SUBJECT OF CHANGE ORDER: <br />08/10/16 <br />116-003 <br />ti Yard <br />See attached addendum for further explanation <br />The original contract sum <br />$ <br />102,250.00 <br />Net change by previously authorized change orders <br />$ <br />0.00 <br />The contract sum prior to this change order <br />$ <br />102,250.00 <br />By this Change Order, the project amount is <br />❑ Increased <br />® Decreased $ <br />81,000 <br />The new contract sum including this change order <br />$ <br />21,250.00 <br />This Change Order represents a total change of <br />79.20 % <br />Total change for entire project <br />79.20 % <br />Original contracted completion date/time <br />11/15/16 <br />Extension of date/time by previous change orders <br />0 <br />Date/time extension by this change order <br />0 <br />New completion date/time <br />RECOMMENDED FOR APPROVAL <br />CONTRACTOR <br />Constructs <br />anager <br />t a. <br />Contra,,{{ or Si nature <br />/1nNTH-Dtjy (f4 vc- S(t. SVC.--!ifgY <br />Printed Name and Title JJ <br />Martell Electric, LLC <br />Company name <br />4601 Cleveland <br />Address <br />South Bend, In. 46628 <br />City, State, Zip <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC �7W�O�RKS <br />r 1 Jam_ Approved Date: - v J /�zC) f V <br />Y d-E <br />Gary A. Gilot, President <br />James A. Mueller, Member <br />Therese JDo au, N ember <br />