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CITY OF SOUTH BEND, INDIANA <br />IV, it "- I rigg k &",gg Mai V We <br />Change Order Proposal No,: 114-053-107 Date: 12/2.0/17 <br />Submitted in Response to Proposal Request No.: <br />Contract Name and No.: 114-053 South Bend WWTP Secondafy Treapiefl "Inwrovenients <br />Contractor: Thieneman Construction Inc. <br />Subject- Remove Bin Nitrification piping in Aeration Gallery via T&M. <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 - $1,565.06 <br />2. Item: — See attached cost breakdown - $0 <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 forfinal payment, and Milestones, ifany. Ifincrease or decrease, state specific number ofdays for changes <br />to the Contract Tines. <br />Contract Times day <br />Amount Substantial Final DescrJot—ion <br />1. Item — Direct Costs $1,565 i7 0 <br />2, ItemZMLrkgs: 5% Sutj/ 15% TC1 $223 0 0 <br />Total This Charge Order J ra osal $1,788 0 I <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: Crail, Steele <br />It c <br />Signature of Proposer: <br />