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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 />See attached Comparison of Estimate for overruns and underruns <br />The original contract sum $ 1,146,000.00 <br />Net change by previously authorized change orders $ 0,00 <br />The contract sum prior to this change order $ 1,146,000.00 <br />By this Change Order, the project amount is ® Increased <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 />❑ Decreased $ 2,597.84 <br />$ 1,148,597.84 <br />+0.23 % <br />+0.23 % <br />Original contracted completion date/time 10/10/2016 (Substantial Completion) <br />11/9/2016 (Final Completion) <br />Extension of date/time by previous change orders 0 days for Substantial Completion 0 days <br />for Final Completion <br />Date/time extension by this change order None <br />New completion date/time 10/10/2016 (Substantial Completion) <br />11/09/2016 (Final Completion) <br />RECOMMENDED FOR APPROVAL <br />CONTRACTOR <br />Contractor Signature <br />Matt McCoy, Project Manager <br />Printed Name and Title <br />Thieneman Construction, Inc. <br />Company name <br />521 W 84th Drive, Suite A <br />Address <br />Merrillville, Indiana 46410 <br />UP <br />i onstructlOn Manager <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approvgd Date: <br />Gary A. Gilot, President <br />James A. Mueller, Member <br />Suzanna itzberg, ember �;F <br />City, State, Zip Elizabeth A. Maradik, Member <br />Therese J. Dorau, mb <br />