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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 />All items completed substantially as <br />9-27-2016 <br />116-021 <br />See attached Comparison of Estimate for overruns <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 />Original contracted completion date/time <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 />Contractor Signature' <br />l4tG44— stet d�L, <br />Printed Name and TitlEr <br />Majority Builders Inc. <br />Company name <br />62900 US 31 South 46614 <br />Address <br />South Bend Indiana <br />City, State, Zip <br />nsion and additional work. <br />See attached explanation <br />and underruns. <br />$ <br />731,348.93 <br />$ <br />0.00 <br />$ <br />731,348.93 <br />® Increased <br />❑ Decreased <br />$ <br />87,580.45 <br />$ <br />818,929.38 <br />11.98 % <br />11.98 % <br />10-1-2016 <br />0 days <br />13 days <br />10-14-2016 <br />RECOMMENDED FOR APPROVAL <br />—U M //Y/ <�A— <br />Project Manager <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: 4127/2-0 A- <br />i <br />David P. Relos, em er <br />Therese J. Dorrau,u, Menl er <br />Jarp�s A. Mueller, Member <br />