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0490ITHp ,4 <br />CITY OF SOUTH BEND, INDIANA �(o <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER \' <br />1865 <br />DATE: 8/16/2016 <br />PROJECT NO: 115-086 <br />PROJECT NAME: Lafayette Falls Subdivision Pavement <br />CONTRACT DATE: 6/14/2016 <br />CHANGE ORDER NO: 1 (Final) <br />SUBJECT OF CHANGE ORDER: PCR #1-HMA Quantity Adjustment <br />All items completed substantially as planned. <br />See attached Comparison of Estimate for overruns and underruns. <br />The original contract sum $ 193,035.00 <br />Net change by previously authorized change orders $ 0.00 <br />The contract sum prior to this change order $ 193,035.00 <br />By this Change Order, the project amount is X� Increased <br />Decreased $ 67,663.20 <br />The new contract sum including this change order $ 260,698.20 <br />This Change Order represents a total change of 35.05 % <br />Total change for entire project 35.05 % <br />Original contracted completion date/time 7/30/2016 <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 7/30/2016 <br />/ CO , CTOR- RECOMMENDED FOR APPROVAL <br />5"il/�/ /04/4 / 7 ,✓fit <br />Printed Name and Titl <br />Walsh & Kelly <br />Company Name <br />24358 State Road 23 <br />Address <br />South Bend, IN 46614 <br />City, State, Zip <br />CONSTRUCTION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC VYORKS <br />Approved <br />Date. q/3 <br />Gary A. Gilot, President <br />David P. Relos, Member <br />1-71 C WL <br />Elizab th A Maradik, Member <br />Therese J. Dotab—Member <br />James A. Mueller, Member <br />