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CITY OF SOUTH BEND, INDIANA <br />WWTP SECONDARY TREATMENT IMPROVEMENTS <br />CITY PROJECT NO.114-053 <br />CHANGE ORDER PROPOSAL <br />Change Order Proposal No,: 1 -0 3-052 Date: 10/2511b <br />Submitted in Response to Proposal Request No,: <br />Contract Name and No.: 114-053 South Bend WWi'P S co rdat Treatment Iin rovelnents <br />Contractor:_ Thieneinan Construction, Inc, <br />Subject: Credit for the RAS Pump Station Coatings and the Associated Concrete Prep Work. <br />The following changes to the Contract are proposed: <br />SCOPE OF WORK: (attach and list supporting information as required) <br />1. Item: Davidson -Finch --- See attached breakdown — ($7,948) <br />JUSTIFICATION: <br />1. Item: 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 final ,payment, and Milestones, if any. If increase or decrease, state specie number of days for <br />changes to the Contract 7Ymes. <br />Description <br />Amount <br />Contract Times (days) <br />Substantial <br />Final <br />1. Item —Davidson -Finch <br />($7,948.00) <br />0 <br />0 <br />2. Item — TCI — Markup: 5% Subs 1 15% TCI <br />Tala1 This Change Order Proposal <br />($397.00) <br />($8,345.00 <br />0 <br />0 <br />0 <br />0 <br />Changes to Milestones, if any: <br />The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it <br />is entitled as a result of the proposed change. <br />Change Order Proposal By: Allen Gaarder <br />Signature of Proposer: <br />