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CITY OF SOUTH BEND, INDIANA <br />W WTP SECONDARY TREATMENT IMPROVEMENTS <br />CITY PROJECT NO. 114-053 <br />CHANGE ORDER PROPOSAL <br />Changes Order Proposal No,: 114-053-072 Date: 4/4/17 <br />Submitted in Response to Proposal Request No.: <br />Contract Name and No.: 114-053 South Bend WWTP Secondaty Treatment Improvements <br />Contractor Thieneman Construction Inc. <br />Subject: During demolition of the existing 96" line on the West side, we discovered 2 unforeseen <br />County drain tie-ins. One was located near the new FCE structure, and one was located midway <br />along the West slope of the jobsite. Owner requested that we simply plug and abandon them. <br />The following changes to the Contract are proposed: <br />SCOPE OF WORK: (attach and list supporting information as required) <br />1. Item: TCI — See attached cost breakdown - $800.00 <br />JUSTIFICATION: <br />1. Item: Unforseen Condition / Owner Request <br />CHANGES IN CONTRACT PRICE AND CONTRACT TIMES: <br />We propose that the Contract Price and Contract Times be changed as follows: <br />For Contract Price, when requested by Engineer, attach detailed cost breakdowns for Contractor and <br />Subcontractors, Supplier quotations, and other information required. <br />For the Contract Times, state increase, decrease, or no change to Contract Times for Substantial Completion, <br />readiness for f nal payment, and Milestones, ifany. Ifinerease or decrease, state specific number ofdays for changes <br />to the Contract Tines. <br />Description <br />Amount <br />Contract Times da s <br />Substantial 1.Final <br />1. Item — TCI <br />$800.00 <br />0 <br />0 <br />2. Item — TCI — Markup: 5% Subs 1 15% TO <br />$120.00 <br />0 <br />0 <br />Total This Change Order Proposal <br />$920.00 <br />0 <br />Changes to Milestones, if any: <br />The adjustment proposed is the entire adjustment to tI dntract to which the proposer believes it <br />is entitled as a result of the proposed change. <br />Change Order Proposal By: Craig :Steele. <br />Signature of Proposer: <br />