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IFOWAYA �Wv r �W Z, <br />Z2MEB= <br />W91911=11111", <br />DATE: <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CHANGE ORDER NO: <br />SUBJECT OF CHANGE ORDER <br />6/5/2018 <br />117-087 <br />Old Clay Utilities Sewer Lining <br />12121/2017 <br />PCB #1 -A) Change in contract time due to change in scope and <br />required easement acquisition for sewer installation. B) Increase of <br />project cost due to elimination of sewer lining therefore increasing <br />sewer pipe diameter being directionally drilled. (See attached <br />Exhibit -A). <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/time <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 />Contractor Signature <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 />Increased <br />Decreased <br />5/4/2018 <br />O days <br />90 days <br />8/2/2018 <br />205,745.00 <br />0.00 <br />20V45.00 <br />$ 23,060.00 <br />$ 228,805.00 <br />11.21 % <br />11.21 % <br />RECOMMENDED FOR APP5QVAL <br />0 d.1 <br />CONSTR�PON MAWA-6LIlk <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC VYORKS <br />Approved Date. <br />Gary A. GiloPresident <br />Suzanna M. Fritzberg, Member <br />.. R , lljik— <br />Elizabeth A. Maradik, Member <br />Therese J. rau, Member <br />James A. Mueller, Member <br />