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DATE: <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CHANGE ORDER NO: <br />SUBJECT OF CHANGE ORDER: <br />CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />6/3/2016 <br />115-015R <br />1 (Final) <br />PCR #1-Quantity Adjustment <br />All items completed substantially as planned. <br />See attached Comparison of Estimate for overruns and underruns. <br />The original contract sum <br />$ 246,537.32 <br />Net change by previously authorized change orders <br />$ 0.00 <br />The contract sum prior to this change order <br />$ 246,537.32 <br />By this Change Order, the project amount is <br />QX Increased <br />❑ Decreased $ 1,890.00 <br />The new contract sum including this change order <br />$ 248,427.32 <br />This Change Order represents a total change of <br />0.77 <br />Total change for entire project <br />0.77 % <br />Original contracted completion date/time <br />6/28/2016 <br />Extension of date/time by previous change orders <br />0 days <br />Date/time extension by this change order <br />0 days <br />New completion date/time <br />6/28/2016 <br />CONTRACTOR <br />RECOMMENDED FOR APPROVAL <br />Contractor Signature <br />CONSTIMCTION MANAGER <br />5're.4 e. Jx-f_-P- PAes'a �.I� <br />CITY OF SOUTH BEND <br />Printed Name and Title <br />BOARD OF PUBLIC WORKS <br />Approved Date:�031000/( <br />C Masonry Restoration LLC <br />Company Name <br />-4 TT , <br />A 4 / 1 <br />3725 N. Foundation Ct., Suite AB <br />Address <br />South Bend, IN 46628 <br />City, State, Zip <br />Therese J. Dor , M'ember <br />mes A. Mueller. Member <br />