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Change Order No. 2 - PCA - Jefferson Boulevard Striping Phase I Proj No 116-037A - Airmarking Co
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Change Order No. 2 - PCA - Jefferson Boulevard Striping Phase I Proj No 116-037A - Airmarking Co
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3/28/2025 1:40:55 PM
Creation date
12/14/2016 3:04:59 PM
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Board of Public Works
Document Type
Projects
Document Date
12/13/2016
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SOIL IH b <br />CITY OF SOUTH BEND, INDIANA <br />4 <br />DEPARTMENT OF PUBLIC WORKS �,�.f <br />PROJECT CHANGE ORDER ess <br />DATE: 10/20/2016 <br />PROJECT NO: 116-037A <br />PROJECT NAME: Jefferson Boulevard Striping Phase I <br />CONTRACT DATE: 9/13/2016 <br />CHANGE ORDER NO: 2 (Final) <br />SUBJECT OF CHANGE ORDER: _PCR #2-Final Quantity Adjustment <br />All items completed substantially as planned. <br />See attached Comparison of Estimate for overruns and underruns. <br />The original contract sum $ 57,084.00 <br />Net change by previously authorized change orders $ 0.00 <br />The contract sum prior to this change order $ 57,084.00 <br />By this Change Order, the project amount is Increased <br />XQ Decreased $ 346.00 <br />The new contract sum including this change order $ 56,738.00 <br />This Change Order represents a total change of -0.61 %H <br />Total change for entire project -0.61 % <br />Original contracted completion date/time 10/15/2016 <br />Extension of date/time by previous change orders 3 days <br />Date/time extension by this change order 0 days <br />New completion date/time 10/18/2016 <br />CONTRACTOR <br />Contract 8fgfiature <br />64L u_ <br />Printed Name and Title <br />Airmarking Co., Inc. <br />Company Name <br />P.O. Box 526 <br />Address <br />Rochester, IN 46975 <br />City, State, Zip <br />RECOMMENDED FOR APPROVAL <br />CONS CTION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: J-�2 j'/�o(' <br />xy `-1 G( r <br />Gary A. Gilot, President <br />Elizabeth AMaradik, Member <br />v The <br />rese J. D rau, Member <br />Ja es A. Mueller, Member <br />
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