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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.: 114-053-123 Date: 3/2/18 <br />Submitted in Response to Proposal Request No.: <br />Contract Name and No.: 114-053 South Bend WWII' Secondar Ti-eatnient lm rovemeiits <br />Contractor: Thienenlall Construction, Inc. <br />Subject: Additional costs from Sweney to perform a revised short circuit test as requested due to <br />AEP using a different transformer than they had previously provided data for. Due to the tardiness <br />of this submission, I have eliminated any unnecessary markups. This missing PCO was discovered <br />recently during my audits of all PO's and Subcontracts. <br />The following changes to the Contract are proposed: <br />SCOPE OF WORK: (attach and list supporting information as required) <br />Item: TCI — See attached cost breakdown - $0.00 <br />2. Item: Sweney — See attached cost breakdown - $1,323.00 <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 forfnal payment, and Milestones, if any. Ifincrease or decrease, state specific number ofdays for changes <br />to the Contract Tinges. <br />Description <br />Amount <br />Contract Times days <br />Substantial <br />Final <br />1. Item — Direct Costs <br />$1,323 <br />0 <br />0 <br />2. Item --- Markups: 5% Subs / 15% TO <br />$0 <br />0 <br />0 <br />Total This Change Order Pro osal <br />$1,323 <br />0 <br />0 <br />Changes to Milestones if any: 0 days. <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 I <br />Signature of Proposer: <br />