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SpUill85, .,. <br />CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />IP65 <br />DATE: 1 /2/2017 <br />PROJECT NO: 115-124 <br />PROJECT NAME: Olive Lighting over the Indiana Toll Road <br />CONTRACT DATE: 10/11/2016 <br />CHANGE ORDER NO: 1 (Final) <br />SUBJECT OF CHANGE ORDER: PCR #1-Incease Wire Quantity <br />All items completed substantially as planned. <br />See attached Comparison of Estimate for overruns and underruns. <br />The original contract sum <br />$ 28,092.00 <br />Net change by previously authorized change orders <br />$ 0.00 <br />The contract sum prior to this change order <br />$ 28,092.00 <br />By this Change Order, the project amount is <br />QX Increased <br />Decreased <br />$ 4,119.00 <br />The new contract sum including this change order <br />$ 32,211.00 <br />This Change Order represents a total change of <br />14.66 % <br />Total change for entire project <br />14.66 % <br />Original contracted completion date/time <br />7/20/2017 <br />Extension of date/time by previous change orders <br />0 days <br />Date/time extension by this change order <br />0 days <br />New completion date/time <br />7/20/2017 <br />CONTRACTOR <br />RECOMMENDED FOR APPROVAL <br />ontractor— Sig ure <br />CONST <br />ION MANAGER <br />CITY OF SOUTH BEND <br />David J Delp, Vice President <br />Printed Name and Title <br />Michiana Contracting, Inc. <br />Company Name <br />P.O. Box 929 <br />Address <br />Plymouth, IN 46563 <br />City, State, Zip <br />BOARD OF PUBLIC WORKS <br />Approved Daft <br />ary A. Gil t, President <br />Su�zannritzberg, Member <br />Elizabeth A.A. Maradik, Member <br />Therese J. DordUVIVember <br />/I I r--,, <br />Jams A. Mueller, Member <br />