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~t <br />Y~, ~' <br />~~ <br />33ate: November 23, 2009 <br />Client <br />Name <br />Title <br />Organization <br />Address <br />City <br />State <br />Telephone <br />Fax <br />EST. START DATE <br />EST. F7MSH DATE <br />DATE <br />11 /30/09 <br />~ ~ ~~ ~~~P~~~~~-~1 <br />CLIENT CLr~.IIVI NO. OR P.O, NO. <br />City of South Bend <br />Mr. Gary A. Gilot, P.E. <br />Dv~ector, Dept. of Public Works <br />Crty of South Bend <br />227 West Jefferson Boulevard <br />_ South Bend ~~~ - <br />Indiana Zip 46601 <br />574-235-925] _ <br />574-235-9171 <br />November 30, 2009 <br />21 calendar days from NTP <br />SCOPE OF <br />Work Site Opinion of Probable Constntction <br />Costs for Memoria] Hospital <br />Improvements <br />Name <br />Location - <br />Address <br />City <br />State Zip <br />Telephone - <br />Fas ----- <br />Other Notes -'~` -_ -- <br />DLZAccount No. <br />VICES ~ ESTIMATED COST <br />Preparation of Opuiion of Probable Constnuction Costs for Memorial <br />Hospital Improvements as per Scope of Work in Attachment A $10,000.00 <br />AL ~ 10,000.00 <br />SCHEDULE <br />DLL proposes to initiate the Scope of Services for `Opinion of Probable Construction Costs for Memorial Hospital Improvements' <br />outlined above upon receiving a signed Agreement and Notice to Proceed. <br />COMPENSATION <br />For performing the professional services outlined above, DLZ Indiana, LLC will be paid on an hourly rate basis in accordance with <br />our Agreement for Professional Engineering Services, "General Engineering Services", dated September 24, 2007. All other <br />conditions as set forth in the original Agreement shall remain in full force and effect, except as herein modified. Fees for the <br />Supplemental Agreement will be invoiced on a monthly basis in accordance with the attached Attachment R. <br />ACCEPTANCE <br />If you approve and accept this proposal, please sign, date and return one copy of this work order far our records. <br />Very truly yours, <br />DLZ INDIANA, LLC <br />l~~ <br />ary K. isk, P.E <br />Vice President <br />APPROVED AND ACCEPTED (Client Signature) <br />Printed Name: <br />Title: <br />tvL`.PROJ\0761\2601\docsWgreement\Z-Memorial Hospital ImprovementsVNemorial Hospital WO Proposal.doc <br />Date: <br />ENGINEERS _ ARCHITECTS SCIENTISTS ~ PLANNERS -SURVEYORS <br />2211 E. JEFFER50N BOULEVARD SOUTH BEND, IN 46615 PHONE: (574) 236-4400 FAX: (574) 236-4471 <br />i~ith Offrces Tht-oi4ghoul The Mid~~est. <br />~~tvtiv, dlz, com <br />