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CITY OF SOUTH BEND, INDIANA <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 />10/5/2016 0:00:00 <br />116-064 <br />MLK HVAC Revisions <br />8/23/2016 <br />PCR #1-Extend final completion date <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 />oq SpU�H 6F4'.. <br />� d <br />Y <br />1865 <br />$ 379, 708.00 <br />$ 0.00 <br />$ 379,708.00 <br />Increased <br />Decreased $ 0.00 <br />$ 379,708.00 <br />0.00 % <br />0.00 % <br />Original contracted completion date/time 12/23/2016 0:00:00 <br />Extension of date/time by previous change orders 0 days <br />Date/time extension by this change order 21 days <br />New completion date/time 1/13/2017 <br />NTRACTOR <br />Contractor Signature <br />Rom& , f1L SeZ-1- r)o"rt. 0, <br />Printed Name and Title <br />Herrman & Goetz, Inc. <br />Company Name <br />225 S. Lafayette Blvd <br />Address <br />South Bend, IN 46601 <br />City, State, Zip <br />RECOMMENDED FOR APPROVAL <br />CONST CTION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WQRKS <br />Approved Date: /.I ,J5J/'-�>� /(, <br />President <br />t <br />Elizabeth A Maradidik, Member <br />Therese J. Dora , M&rRber c <br />/ l `� <br />Jam s A. Mueller, Member <br />