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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.: 114-053-091 Date: 8/23/17 <br />Submitted in Response to Proposal Request No.: <br />Contract Name and No.: 114-053 South Bend WWTP Secondary Treatment Improvements <br />ements <br />Contractor: Thienernan Construction, Inc. <br />Subject: Remove and reroute conduits in conflict with WAS piping. <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 - $917,00 <br />2. Item: Sweney — See attached cost breakdown - $3,744.00 <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 formal payment, and Milestones, ifany, Ifincrease or decrease, state specific number of daysfor changes <br />to the Contract Times. <br />Description <br />Amount <br />Contract Times da s) <br />Substantial <br />Final <br />1. Item —Direct Costs <br />$4,5R <br />0 <br />0 <br />2. Item — Markups: 5% Subs / 15% TCI <br />$325 <br />0 <br />0 <br />Total This Change Order Proposal <br />$4,913 <br />0 <br />0 <br />Changes to Milestones if any: N/A <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 I <br />Signature of Proposer: <br />