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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 />11/30/2016 <br />116-083F <br />Chippewa Avenue Emergency Repairs <br />10/25/2016 <br />1 <br />PCR #1-Increase Field Drilled Holes PCR #2-Increase Concrete, <br />High Early PCR #3-Increase Rebar <br />The original contract sum $ 174,394.75 <br />Net change by previously authorized change orders $ 0.00 <br />The contract sum prior to this change order $ 174,394.75 <br />By this Change Order, the project amount is D 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 $ 9,369.50 <br />$ 183, 764.25 <br />5.37 % <br />5.37 % <br />Original contracted completion date/time 4/14/2017 <br />Extension of date/time by previous change orders 0 days <br />Date/time extension by this change order 2 days <br />New completion date/time 4/16/2017 <br />ONTRACTOR <br />ontractor Signature <br />Printed Name and Title <br />JCI Bridge Group Inc. <br />Company Name <br />Iffi7:7.S!tcT:I: <br />Address <br />LaPorte, IN 46350 <br />City, State, Zip <br />RECOMMENDED FOR APPROVAL <br />a , <br />CONS Rb"TION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved 2Date: <br />aryA. G of President <br />7�6 <br />zanna M. Fritnzberg, Memb <br />Elizabeth A. Maradik, Member <br />Therese J. Dora , Member <br />Jams A. Mueller, Member <br />