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<br />J.-Imm IA Document G701 TM -2017
<br />PROJECT: (Name and address) CONTRACT INFORMATION:
<br />CHANGE ORDER INFORMATION:
<br />17398 - Fire Station Number 9 Contract For: General Construction
<br />Change Order Number: 001
<br />2108 Mishawaka Avenue Date: March 13, 2018
<br />Date: September 26, 2018
<br />South Bend, IN 46615
<br />OWNER: (Name and address) ARCHITECT: (Marne and address)
<br />CONTRACTOR: (Name and address)
<br />City of South Bend EPOCH Architecture + Planning
<br />Ziolkowski Construction, Inc.
<br />Board of Public Works
<br />227 West Jefferson Blvd 300 West Jefferson Blvd
<br />4050 Ralph Jones Drive
<br />South Bend, IN 46614 South Bend, W 46601
<br />South Bend, IN 46628
<br />THE CONTRACT IS CHANGED AS FOLLOWS:
<br />(117sert a detailed description of the change and, if applicable, attach orreference specific exhibits, Also b7clude agreed upon adjustments
<br />attributable to executed Construction Change Directives)
<br />RCO #001 = Items 3, 4, 5, 6, 8, 11 & 10, acceptance of combined value = Deduct $5,205.00
<br />RCO 4002 = addition of two vision panels per overhead coiling door at a cost of $6,395.00, not accepted = Add $0.00
<br />RCO #003 = change (deduct (22)30" Dante Wardrobe Units and add (22) Roomscape Combo Wardrobes at a cost of
<br />$25,961.00, not accepted = Add $0.00
<br />RCO 4004 = Items 1, 2, 7 & 9, acceptance of combined value = Deduct $2,321.00
<br />RCO $005 = Items I & 2, acceptance of combined value = Deduct $1,640.00
<br />The original Contract Sum was
<br />$ 3,652,500.00
<br />The net change by previously authorized Change Orders
<br />$ 0.00
<br />The Contract Sum prior to this Change Order was
<br />$ 3,652,500.00
<br />The Contract Sum will he decreased by this Change Order in the amount of
<br />$ 9,166-00
<br />The new Contract Surn including this Change Order will be
<br />$ 3,643,334.00
<br />The Contract Time will be increased by Zero (0) days,
<br />The new date of Substantial Completion will be en . a S -
<br />NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract
<br />Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the
<br />Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive,
<br />NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER,
<br />EPOCH Architecture
<br />Ziolkowski Construction, Inc,
<br />ARCHITECT W CONTR41TOVFir)n nalne)
<br />SIG T A�
<br />SIGNATURE
<br />Al Bill Favors, President & CFO
<br />PRINTED NAME AND TITLV PRINTED NAME AND TITLE
<br />lo,I,Kl /,!; September 27, 2018
<br />DATff / —/ DATE
<br />City of South Bend hoard of Public
<br />Works
<br />OWNER (1T7r777jgw7e)
<br />SIGNATURE
<br />PRINTED NAME AND TITLE
<br />I o",
<br />DATE 7)RJVJ 01
<br />A
<br />A�A Document G70IT11-2017, Copyright G) 1979, 1987, 2000 , 2001 and 2017 by Tice American Institute of Architects. E ed' "P
<br />A Ae Docurnent is protected by U.S. CopyNght Law and Mternationat Treafles, Ulvm"thorlzed reproducUon Or distrib 1 w Wt o
<br />any porkin of ft, rnay result in severe civH and cNminai pen,aifies, and vdH be prosecuted to Um maxinuun extoult7l' "I'm 0 L E awl, s
<br />document was produced by AIA software of 13:53!35 on 09/27/2018 under Order No. 1093394963 which expires on 07106/2049,a ' Inot
<br />User Notes: (3139ADA38)
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