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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 />9/8/2016 <br />114-033B <br />Western Avenue Corridor Improvements <br />6/18/2015 <br />I he original contract sum <br />Net change by previously authorized change orders <br />The contract sum prior to this change order <br />By this Change Order, the project amount is <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 />�7 4 CONTRACTOR <br />ontractor Sign <br />Printed Name and Title <br />Rieth-Riley Construction CO., INC. <br />Company Name <br />25200 State Road 23 <br />Address <br />South Bend, Indiana, 46614 <br />City, State, Zip <br />XeIncreased <br />Decreased <br />$ 3,982.57 <br />$ 973,036.88 <br />0.41 % <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC VYORKS <br />Approved Date: <br />Therese J. Wau, Member <br />4 J-� <br />J es A. Mueller, Member <br />