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h" <br />CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE- 11/13/2017 <br />PROJECT NO: 117-039 <br />PROJECT NAME: Specialty Pavement Markings <br />CONTRACT DATE: 6/27/2017 <br />CHANGE ORDER NO: 1 (Final) <br />SUBJECT OF CHANGE ORDER: PCR #1 -Adjustment to Final Quantities. <br />All items completed substantially as planned. <br />See attached Comparison of Estimate for overruns and underruns. <br />The original contract sum <br />Net change by previously authorized change orders <br />The contract sum prior to this change order <br />By this Change Order, the project amount is <br />The new contract sum including this change order <br />This Change Order represents a total change of <br />Total change for entire project <br />Original contracted completion date/time <br />Extension of dateltime by previous change orders <br />Date/time extension by this change order <br />New completion date/time <br />CONTRACTOR <br />Contractor Signature <br />-ei- c,.,, L� v I <br />U � L�, e <br />Printed Name and Title <br />DBL Services, Inc. <br />Company Name <br />1811 N. Clover Rd. <br />Address <br />Mishawaka, IN 46545 <br />City, State, Zip <br />$ 22,146. 11 <br />$ 0.00 <br />$ 22,146.11 <br />Increased' <br />n Decreased $ 1,525.85 <br />$ 20,620.26 <br />6.89 % <br />6.89 % <br />9/20/2017 <br />0 days <br />0 days <br />9/20/2017' <br />RECOMMENDED FOR APPROVAL. <br />\Alt <br />CONSTRUN MANAGER <br />rqffiilro11 <br />BOARD OF PUBL!,C )A/?RKS., <br />Approved Date: <br />Gary A. Gilot:, Presid'ent <br />Suzanna M. Fritzberg, Member <br />Elizabeth A Maradik, Member <br />Therese J. Do(au, Member <br />Jam/ s A. Mueller, Member <br />