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tip61E(g <br />CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS i + <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 />All items completed substantially as planned. <br />See attached Comparison of Estimate for overruns and underruns <br />The original contract sum $ 11,885,000.00 <br />Net change by previously authorized change orders $ 768,675.87 <br />The contract sum prior to this change order $ 12,653,675.87 <br />By this Change Order, the project amount is ® Increased <br />12/06/2016 <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 />ontr tor<Skffature <br />Printed Name and Title <br />Thieneman Construction, Inc. <br />Company name <br />17241 Foundation Parkway - Suite 100 <br />Address <br />Westfield, Indiana 46074 <br />City, State, Zip <br />❑ Decreased $ 90,690.00 <br />$ 12,744,365.87 <br />+0.76 % <br />+7.23 % <br />ift <br />(/Construction anager <br />CITY OF SOUTH BEND <br />BOARD OF PUBLI1Z WORKS <br />Approved Date: 2 0((- <br />