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CITY OF SOUTH BEND, INDIANA <br />WWTP SECONDARY TREATMENT IMPROVEMENTS <br />CITY PROJECT NO. 114-053 <br />CHANGE ORDER PROPOSAL <br />Change Order Proposal No.: 114-053-036 Date: 8/11/16 <br />Submitted in Response to Proposal Request No.: <br />Contract Name and No.: 114-053 South Bend W WTP Secondary Treatment Improvements <br />Contractor: Thieneman Construction, Inc. <br />Subject: During the excavation of the aeration gallery extension, an unforeseen live 3" water line was <br />discovered to be in conflict with the new structure. Per the attached sketch provided by the City of South <br />Bend, the following pricing is for the removal of a portion of the existing piping and installation of new <br />piping to revise the pipe routing around the new structure. <br />The following changes to the Contract are proposed: <br />SCOPE OF WORK: (attach and list supporting information as required) <br />1. Item: TCI — See attached cost breakdown = $22,559 <br />JUSTIFICATION: <br />1. Item: Unforeseen Condition / Owner Request <br />CHANGES IN CONTRACT PRICE AND CONTRACT TIMES: <br />We propose that the Contract Price and Contract Times be changed as follows: <br />For Contract Price, when requested by Engineer, attach detailed cost breakdowns for Contractor and <br />Subcontractors. Supplier quotations, and other information required. <br />For the Contract Times, state increase, decrease, or no change to Contract Times for Substantial Completion, <br />readiness for final payment, and Milestones, if any. If increase or decrease, state specific number of days for <br />changes to the Contract Times. <br />Description <br />Amount <br />Contract Times (days) <br />I Substantial <br />I Final <br />1. Item—TCI <br />$22,559.00 <br />0 <br />0 <br />2. Item — TO— Markup: 5% Subs / 15% TO$3,384.00 <br />0 <br />0 <br />Totaf This Chan e Order Pra osal1 <br />$25, 943.00 <br />0 <br />0 <br />Changes to Milestones, if any: <br />The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it <br />is entitled as a result of the proposed change. <br />Change Order Proposal By: A] len Gaarder <br />Signature of Proposer: <br />