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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.: 114-053-037 Date: 9/21/16 <br />Submitted in Response to Proposal Request No.: <br />Contract Name and No.: 114-053 South Bend WWTP Secondary Treatment Improvements <br />Contractor: Thieneman Construction, Inc. <br />Subject: As stated in the attached file letter, TCI discovered and confirmed there were asbestos containing <br />gaskets present in the aeration gallery. We were directed to "Remove all abandoned piping as required by <br />the Plans and Specifications. As long as the bolted joints are not disassembled, the asbestos gaskets will <br />not be exposed (very little risk). Take care not to disturb asbestos gaskets, where possible, by cutting the <br />pipe and not disassembling the bolts at the flange." The attached additional costs are for cutting and <br />bagging the pipe sections in lieu of simply unbolting. <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 = $2,089 <br />JUSTIFICATION: <br />1. Item: Unforeseen Condition <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 da s <br />Substantial Final <br />1. Item —TCI <br />$2,089.00 <br />1 1 <br />2. Item — TCI —Mazku :5%Subs /15%TCI <br />$313.00 <br />0 0 <br />Total This Change Order Pro osal <br />$2,402.00 <br />1 1 <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: Allen Gaarder <br />Signature of Proposer: <br />