Change Order No. 14 - WWTP Secondary Treatment Improvements Project No. 114-053 - Thieneman Construction Inc.

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CITY OF SOUTH BEND, INDIANA WWTP SECONDARY TREATMENT IMPROVEMENTS CITY PROJECT NO. 114-053 CHANGE ORDER PROPOSAL Change Order Proposal No.: 114-053-084 Date: 7/18/17 Submitted in Response to Proposal Request No.: Contract Name and No,: 114-053 South Bend W WTP Secondary "Treatment hnljLgYements Contractor: Thicneman Construction Inc. Subject: Additional asphalt overlays on the West side road from the Admin Bldg to the Gallery 4. TCl and Owner agreed to split the cost of the I" 100' as some of the damage may have been caused by construction. Owner then requested a 2"d overlay of another 126', The following changes to the Contract are proposed: SCOPE OF WORK: (attach and list supporting information as required) 1. Item: TCl — See attached cost breakdown - $286 2. Item: Rieth Riley— See attached cost breakdown - $5,043 JUSTIFICATION: 1. Item: Unforeseen CHANGES IN CONTRACT PRICE AND CONTRACT TIMES: We propose that the Contract Price and Contract Times be changed as follows: For Contract Price, when requested by Engineer, attach detailed cost breakdowns for Contractor and Subcontractors. Supplier quotations, and other information required. For the Contract 7Nes, state increase, decrease, or no change to Contract Times for Substantial Completion, readiness for f nal payment, and Milestones, ifany. If increase or decrease, state specific ntanber ofdays for changes to the Contract Times. _ Iiescri tiara 1, Item — Direct Costs Amount $5,330 Contract Times days Substantial 0 Final 0 _ 2. Item --- Marku s: 5% Subs / 15% TCl $295 _- _ 0 0 Total This Change Order Proposal $5, 625 0 0 Changes to Milestones if any: N/A The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it is entitled as a result of the proposed change. Change Order Proposal By: L`rai S Signature of Proposer: ��