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CITY OF SOU TH BEND, INDIANA J. <br />W'VM'-'SV0 #r'NJ-AAT-TJL 1�4�'Vyf Uff -hfil! %A'-'VMV1 EN 1 <br />CITY PROJECT NO. 114-053 <br />CHANGE ORDER PROPOSAL <br />Change Order Proposal No.: 114-053-098 Date. 11/9/17 <br />Submitted in Response to Proposal Request No,: <br />Contract Name and No.: 114-053. South Bond WW'1'111 SecondaryTreatment- ILI, m1yelnents <br />Contractor. Thicneman Construction, _Inc. <br />Subject: Design, furnish, and install custom aluminum frames and plates for 2 Enviromix Panels <br />and I Stop Log Surround. <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 - $5,149.40 <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 Tunes for Substantial Completion, <br />readinessforfinalpayment, and Milestones, ifany: Ifincrease or decrease, state specific number ofdaysfor 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 vro-nosed change. <br />Change Order Proposal I <br />Signature of Proposer: <br />