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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: 12-13-2016 <br />PROJECT NO: 116-098 <br />PROJECT NAME: The JMS Building New North Stair <br />Tower <br />CONTRACT DATE: 10-25-2016 <br />CHANGE ORDER NO. 1 <br />SUBJECT OF CHANGE ORDER: Time Extension See attached explanation <br />of work <br />All items completed substantially as planned. <br />See attached Comparison of Estimate for overruns and underruns <br />The original contract sum <br />$ 497,097.00 <br />Net change by previously authorized change orders <br />$ 0.00 <br />The contract sum prior to this change order <br />$ 497,097.00 <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 />Original contracted completion date/time <br />Extension of date/time by previous change orders <br />Date/time extension by this change order <br />New completion date/time <br />CONTRACTOR <br />Co- 'actor Signature <br />T 111,,44�d►n o;400- <br />rinted Name and Title <br />HGR Group, Inc. <br />Company name <br />1932 Churchill Drive <br />Address <br />South Bend, Indiana, 46617 <br />City, State, Zip <br />❑ Decreased $ 0.00 <br />$ 497,097.00 <br />0.00 % <br />0.00 % <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: /d1/ 3/,,2U j, <br />