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CONSTRUCTION1 <br />EXCAVATING•SEWERS•WATERMAINS <br />"QVoJtn3 90 J-11 0 f ,Saw ,,- <br />REQUEST FOR CHANGE ORDER <br />TO: <br />City of South' Bend <br />Attn:_aacob Klosinski <br />3113 Riverside Drive <br />South Bend, IN 46628 <br />PROJECT: <br />Calvert Street Lift Station <br />HRP Project: <br />1483 <br />RE: <br />Request for compensation for <br />electric related items <br />DATE: September 1, 2017 <br />RFCO M. 8 <br />0 <br />OWNER: City of South Bend <br />ENGINEER: DLZ <br />Description of Request: A. To have Michlana Contracting provide and install an additional conduit <br />stubbed out of the control cabinet for future use. <br />B. To have Michiana Contracting lower the weather station for better access by <br />City personnel. <br />C. Reimbursement to HRP for lift station operation incurred through AEP delay. <br />Basis of Proposal: A. Requested by Owner. <br />B. Requested by Owner. <br />C. Owner was receiving benefit of station. <br />Description <br />QQt Unit Unit Price <br />Extension <br />A. Michiana Contracting proposal with HRP <br />1 LS $129.00 <br />$129.00 <br />mark-up. See attached. <br />B. Michiana Contracting proposal with HRP <br />1 LS LS 6a.0g. 00 <br />$. SILO .00 <br />mark-up. See attached. <br />C. AEP charges with HRP mark-up. See <br />34 Day $13.21 <br />$449.00 <br />attached. <br />Total for Change Order $786.00 <br />Joe Saggars — HRP Construction Inc <br />Date <br />Shipping: 5777 Cleveland Road South Bend, IN 46628-9418 Phone 574-271.-7800 <br />Mailing: P.O. Box 266 South Bend, IN 46624-0266 FAX 574-271-0524 <br />