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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.: 114-053-104 Date- 11/9/17 <br />Submitted in Response to Proposal Request No.: <br />Contract Name and No.: 114-053 South Bend WWTII Secon� Jur3LTI-Catlnent I In prgygnoj� <br />Contractor: Th icneman Constr <br />Subject: Credit for link sea] previously included in PCO #12. <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 — ($2,856.28) <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 />readinessforfinal paym e nt, and Milestones, ifa qy: If incre ase or decrease, state specific number 0fdaysfor 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 cha e, <br />Change Order Proposal By: (:r St, A <br />Signature of Proposer: <br />