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CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: 4/13/2018 <br />PROJECT NO: 115-097 <br />PROJECT NAME: Western Avenue and Olive Street Intersection Improvement <br />CONTRACT DATE,: 5/9/2017 <br />CHANGE ORDER NiO: 5, (Final) <br />SUBJECT OF CHANGE ORDER: PCR #5-Adjustment to Final Quantities. <br />All items completed substantially as planned. <br />See attached Comparison of Estimate for overruns and underruns. <br />The original contract sum <br />$ <br />2,713,239.25 <br />Net change by previously authorized change orders <br />$ <br />149,341.43 <br />The contract sum prior to this change order <br />$ <br />2,862,580.68 <br />By this Change Order, the project amount is F1 increased <br />nX Decreased <br />$ <br />387.59 <br />The new contract sum including this change order <br />$ <br />2,862,193.09 <br />This Change Order represents a total change of <br />-0.01 % <br />Total change for entire project <br />5.49 % <br />Original contracted completion date/time 10/25/2,017 <br />Extension of date/time by previous change orders 12 days <br />Date/time extension by this change order 0 days <br />New completion date/time 1116/2017 <br />CONTRACTOR RECOMMENDED FOR APPROVAL <br />Contractor Signatur CONSTR,'UJ1ON <br />MANAGER <br />CITY OF SOUTH <br />BEND <br />Robert S. Riley, Project Manager <br />Printed Name and Title <br />Selge Construction Co., Inc. <br />Company Name <br />2833 S. 11 th Street <br />Address <br />Niles, MI 49120 <br />City, State, Zip <br />BOARD OF PUBLIC W R <br />Approved Date�T <br />- <br />Gary A. Gilot, President <br />Suzanna M. Fritzberg, Member <br />U k- <br />Elizabeth A Maradik, Member <br />Therese J. Yorau, Member <br />James A. Mueller, Member <br />