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0 .,ouTn a <br />CITY OF SOUTH BEND o2 <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />,86$ <br />DATE: <br />November 15, 2016 <br />PROJECT NO: <br />116-: 30 <br />PROJECT NAME: <br />-- <br />2016 Cold Milling <br />CONTRACT DATE: <br />_ <br />April 26, 2016 <br />CHANGE ORDER NO. <br />t — <br />SUBJECT OF CHANGE ORDER: Project Comoletion <br />teSee attached Comparison of Estimate for overruns and underruns, <br />e original contract sum <br />$ <br />Net change by previously authorized change orders <br />$ <br />49,150.00 <br />The contract sum prior to this change order <br />$ <br />48,150.00 <br />By this Change Order, the project amount is ❑ Increased <br />x0 Decreased <br />The new contract sum including this change order <br />$ <br />177865.94 <br />This Change Order represents a total change of <br />$ _ <br />302284.06 <br />284.06 <br />Total change for entire project <br />3 <br />37.10475 % <br />Original contracted completion date—Anue 12/31/2016 <br />Extension of date/time by previous change orders <br />Date/time extension by this change order <br />NekN completion date/Time <br />CONTRACTOR <br />Contractor Signature <br />.Z, <br />Printed Name and Title <br />J.L. Milling, Inc. <br />Company name <br />15262Industrial Dr. <br />Address <br />Schoolcraft Mt 49120 <br />City, State, Zip <br />RECOMMENDED\F�OR A�PPpROVAL <br />en tetion Manager <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC ORKS <br />Ap/pproved,Hate: r 0// '7 <br />Oarv� President <br />Therese Dorau, i�nber <br />Suzanna Fritzyerg, Member <br />James A. ,Mueller, Member <br />—1-- <br />Elizabeth A. Maradik, Member <br />