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CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <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 />116-083D <br />Randolph Street Basin Emergency Repair <br />11/22/2016 <br />PCR #1-Time Extension <br />The original contract sum $ 189,683.30 <br />Net change by previously authorized change orders $ 0.00 <br />The contract sum prior to this change order $ 189,683.30 <br />By this Change Order, the project amount is ❑ Increased <br />❑ Decreased $ 0.00 <br />The new contract sum including this change order $ 189,683.30 <br />This Change Order represents a total change of 0.00 % <br />Total change for entire project 0.00 % <br />Original contracted completion date/time 12/16/2016 <br />Extension of date/time by previous change orders 0 days <br />Date/time extension by this change order 30 days <br />New completion date/time 5/1/2017 <br />Contractor Signature <br />Matthew D. Cain, President <br />Printed Name and Title <br />HRP Construction Co. <br />Company Name <br />5777 Cleveland Rd <br />Address <br />South Bend, IN, 46628 <br />City, State, Zip <br />RECOMMENDED FOR APPROVAL <br />A non <br />CONST CTION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORK <br />pproved Date: <br />ary A. Gilot, President <br />Suzanna Member <br />N L <br />Elizabeth <br />A. <br />Ma�radik, Member <br />:P1 <br />Therese J. Dorau, M mber <br />�4 <br />Jams A. Mueller, Member <br />