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DATE; <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CHANGE ORDER NO: <br />SUBJECT OF CHANGE ORDER: <br />3/27/2018 <br />116-027 <br />Jefferson, and Twyckenharn Signal Improvements <br />12/21/20117 <br />PCR #1 -Longer Mast Arm PCR #3-Add Three Pedl Poles <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/timie <br />Extension of date/time by previous change orders <br />Date/time extension by this change order <br />New completion date/time <br />CONTRACTOR <br />C7,ac or Si afore 4. <br />J"C-J'Jkj�velz &0661I ppzeslioew <br />Printed Name and Title <br />Martell Electric, LLC <br />Company Name <br />4601 Cleveland Road <br />Address <br />South Bend, IN 46628 <br />City, State, Zip <br />$ 197,157.47 <br />$ 0.00 <br />$ 197,157.47 <br />[-xl increased <br />F-] Decreased $ 21,246.00 <br />$ 218,403.47 <br />10.78 % <br />10.78 % <br />0 days <br />0 days <br />6/1/2018 <br />RECOMMENDED FOR APPROVAL <br />N MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC ORKS <br />Approved Date: 4- CD r <br />A-1 <br />Glary A. Gilot, President <br />Suzanna M. Fritzberg, Member <br />V- <br />Elizabeth A. Mar'adk Member <br />Therese J. Ddrau, Member <br />James A. Mueller, Member <br />