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� CITY OF SOUTH BEND, INDIANA 9JviHLf46 <br />DEPARTMENT OF PUBLIC WORKS y , <br />PROJECT CHANGE ORDER <br />DATE: 10/4/2016 0:00:00 <br />PROJECT NO: 116-016 <br />PROJECT NAME: 116-016 Zoi(, —Mee # STJHP 214+y4L. <br />CONTRACT DATE: 4/19/2016 <br />CHANGE ORDER NO: 1 <br />SUBJECT OF CHANGE ORDER: PCR #1-Extra Trees PCR #2-Extra Trees <br />The original contract sum $ 30,080.00 <br />Net change by previously authorized change orders $ 0.00 <br />The contract sum prior to this change order $ 30,080.00 <br />By this Change Order, the project amount is �X Increased <br />71Decreased $ 3,125.00 <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 11/1/2016 0:00:00 <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 11/1/2016 <br />CONTRACTOR <br />ni,n <br />Contractor Sig ture <br />Printed Name and Title <br />KC Tree, Inc. <br />Company Name <br />1320 Third St <br />Address <br />Osceola, IN 46561 <br />City, State, Zip <br />33,205.00 <br />10.39 % <br />10.39 % <br />RECOMMENDED FOR APPROVAL <br />--tea VQP. <br />CONST TION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: Jo a S-,) c.I (Co <br />J. <br />A. Mueller. Member <br />