Change Order No 1 - Wastewater Treatment Plant Grit Screenings & Improvements Proj No. 114-075 - Thieneman Construction Inc

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IF THI Tf:AIAN �.._.... 521 W. 84th Drive Engineer: Greeley and Hansen work to SUMMARY OF DETAILED BREAKDOWN LABOR MATERIAL EQUIPMENT OTHER COSTS I. SAFETY 2. EXPENDABLE TOOLS NETTOTAL OVERHEAD AND PROFIT TOTAL WORK PERFORMED BY CONTRACTOR Contractor's / Subcontractor's Change Order Request Summary Date: 9/19/2016 COR: 4 R1 Owner: City of South Bend Project: South Bend Grit and Screenings Improvements TO Job # iron pipe fabricated for the spray loops in both tanks. Additions (1%of LABOR)- Deletion -0- (3.0% of LABOR)- Deletion -0- (A+B+C+01+D2) (Ex15%) - Deletion -0- (Lines E+F) CONTRACTOR'S MARK-UP ON WORK OF SUBCONTRACTORS Detailed Breakdowns and summaries from each contractor must be attached. SUBCONTRACTOR: Firm Name 1. Delta 2. 3. 4. Deletions Net Total CONTRACT WORK: Description PROPOSAL Add prep and painting $2,200.00 SUBTOTAL of all work performed by contractor's subcontractors $2,200.00 MARK-UP on work of subcontractors (Min. $ Do) (Line H x 5%) $110.00 PROPOSAL (Lines G+H+I) $2,310.00 BONDS (1.5%of PROPOSAL) $34.65 BUILDER'S RISK INSURANCE (0.0%of PROPOAAL) - Deletion -0- $2,344.65 TOTAL PROPOSAL TOTAL PROPOSAL for subject CDR increase (decrease) in contract amount $2,344.65 An extension time of 0 day to extend the Contract dates for Completion will be required commencing on the date when we are notified a Change Order will be issued for the price quoted herein. Approval needed in 5 days. If the work has to be performed to continue construction with no response on pricing or if we are issued a Work Change Directive (WCD) to proceed with this work and agreement on the price has not been reached within 30 calendar days, then this proposal shall be considered a Claim, in accordance with Article 10.5 of the Contract General Conditions. CONTRACTOR Signature Malt Atce'oy. Title: PM Date: 9/19/2016