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DATE: <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CHANGE ORDER NO: <br />SUBJECT OF CHANGE ORDER: <br />U :topON F-A] <br />8/20/2018 0:00:00 <br />117-041 A <br />Downtown Cross Street Improvements <br />4/24/2018 <br />4 <br />Cinco 5 Debris, Rernoval8" Pipe Sleeve for Gas Line <br />RelocationRemobilization Costs due to NlPSCO Gas <br />Relocationl3ollards, for SE Corner of LaSalle & Michigan Intersection <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 />Walsh & Kelly <br />Company Name <br />24358 SR23, <br />Address <br />South Bend, IN 46614 <br />City, State, Zip <br />$ <br />1,659,060.60 <br />$ <br />12,878.00 <br />$ <br />1,671,938.60 <br />increased <br />Decreased $ <br />25,250.62 <br />$ <br />1,697,189.22 <br />1.51 % <br />2.30 % <br />10/2612,018 0:00:010 <br />0 days <br />8 days <br />11/3/2018 <br />RECOMMENDED FOR APP <br />CONSTRL )VG'r MANAGER <br />CITY 0 ;SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: <br />z6P� <br />Gary A. Gilot, President <br />Suzanna M, Fritzberg, Member <br />Elizabeth A. Maradik, Member <br />Therese J. D'brau, Me"'m"ber <br />Jam)6s A. Mueller, Member <br />