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78CITY OF SOUTH BEND, INDIANA <br />WWTP SECONDARY TREATMENT IMPROVEMENTS <br />CITY PROJECT NO.114-053 <br />CHANGE ORDER PROPOSAL <br />Change Order Proposal No.: 114-053-031 (Rev 2) Date: 11/14/16 <br />Submitted in Response to Proposal Request No.: <br />Contract Name and No.: 114-053 South Bend W WTP Second?ry Treatment Improvements <br />Contractor: Thieneman Construction, Inc. <br />Subject: As stated in our June 21, 2016 letter, TCI encountered two separate unforeseen conditions during our <br />excavation of the FCE Manhole and Meter Vault. First we encountered a live water line which resulted in the entire <br />excavation being shifted approximately 10' west. Second, after experiencing difficultly driving the majority of the <br />sheeting running along the north line of the FCE hole, we discovered we were driving directly through an unknown 36' <br />culvert. If required, replacement of this culvert will be submitted under a separate PCO after the structures are set and <br />backfilling is complete. <br />The following changes to the Contract are proposed: <br />SCOPE OF WORK: (attach and list supporting information as required) <br />1. Item: TCI — Add - $19,804 <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 (days) <br />Substantial Final <br />1. Item —TCI <br />$19,804 <br />4 4 <br />2. Item — TCI — Marku : 5% Subs / 15% TCI <br />$2,971 <br />Total This Change Order Proposal <br />S22, 775 <br />4 4 <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 />