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CITY OF SOUTH BEND, INDIANA <br />WWTP SECONDARY TREATMENT IMPROVEMENTS <br />CITY PROJECT NO. 114®053 <br />Change Order Proposal No.: 114-053-099 Date: 111/9/17 <br />Submitted in Response to Proposal Request No.: <br />Contract Narne and No.: 114-053 -South Bend WWTP Secog "Jar jt <br />Contractor: Thieiiemati Construction, Inc, <br />Subject: Additional 121f of concrete crack repair per contract unit costs, <br />The following changes to the Contract are proposed, <br />SCOPE OF WORK: (attach and list supporting information as required) <br />1. Item: TCl — See attached cost breakdown - $840.00 <br />2. Item: <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, if any. If increase or decrease, state specific number ofdays for changes <br />to the Contract Times. <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 By: Craig Steele �v <br />Signature of Proposer: <br />