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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 />Al items completed substantially as <br />See attached Comparison of Estima <br />9/02/2016 <br />VWVTP Primary Clarifier Rehabilitation and Equipment Upgrades <br />10/24/2015 <br />and <br />The original contract sum <br />Net change by previously authorized change orders <br />The contract sum prior to this change order <br />By this Change Order, the project amount is <br />The new contract sum including this change order <br />This Change Order represents a total change of <br />Total change for entire project <br />Extension of date/time by previous change orders <br />Date/time extension by this change order <br />New completion date/time <br />CONTRACTOR <br />q 'ractor Signature <br />Scott DeVoll, Vice President <br />Printed Name and Title <br />L.D. Docsa Associates, Inc. <br />Company name <br />300 South 8th Street <br />Address <br />Kalamazoo Michigan 49009 <br />City, State, Zip <br />❑ Increased <br />® Decreased <br />$ 5,043,270.00 <br />$ 107,270.51 <br />$ 5,150,540.51 <br />$ 40,000.00 <br />$ 5,110,540.51 <br />-0.79 % <br />1.33 % <br />'9"'e61N•=Poaw�o�� ' a9•/Z Zo�G <br />!/Construction Manager <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC W RK$ <br />Approved Date: �( a/•i� <br />Iti - ) L , ~ <br />Gary A. Gilot�deYlt <br />David PRelos, Member <br />James A. Mueller, MeInber <br />Elizabeth A. Maradik, Member <br />V l�� <br />Therese J. Dorau, a er <br />