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CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />dl <br />PROJECT CHANGE ORDER <br />Bess <br />DATE: <br />1 /21 /2017 <br />PROJECT NO: <br />115-098 <br />PROJECT NAME: <br />2016 Downspout Disconnect Program <br />CONTRACT DATE: <br />6/28/2016 <br />CHANGE ORDER NO: <br />1 (Final) <br />SUBJECT OF CHANGE ORDER: PCR #1-Final Quantites <br />All items completed substantially as planned. <br />See attached Comparison of Estimate for overruns and underruns. <br />The original contract sum $ 48,355.00 <br />Net change by previously authorized change orders $ 0.00 <br />The contract sum prior to this change order $ 48,355.00 <br />By this Change Order, the project amount is <br />The new contract sum including this change order <br />This Change Order represents a total change of <br />Total change for entire project <br />Original contracted completion date/time <br />Extension of date/time by previous change orders <br />Date/time extension by this change order <br />New completion date/time <br />ON RACT R'' <br />V/Mw�-� <br />Contra or signature <br />Printed Name and Title <br />Acorn Landscaping LLC <br />Company Name <br />3680 W. Sample St <br />Address <br />South Bend, IN, 46619 <br />City, State, Zip <br />❑ Increased <br />X] Decreased $ 39,294.80 <br />$ 9,060.20 <br />-81.26 % <br />-81.26 % <br />1 /21 /2017 <br />0 days <br />0 days <br />1 /21 /2017 <br />RECOMMENDED FOR <br />/APPROVAL <br />V <br />CONSTR ON MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORT S <br />Approved Date: <br />Gary A. Gilot, President <br />C, <br />Maradik, Member <br />Therese J. Do au, Vember <br />James A. Mueller, Member <br />