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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CHANGE ORDER NO. <br />SUBJECT OF CHANGE ORDER <br />10/29/2018 <br />116-108 <br />. .................... <br />Erskine Clubhouse Renovations <br />............. --- ... ................ <br />8/28/2018 <br />01 <br />Per attached RCO �#006 . .... .. 1,[mi,nate the intermediate Phase I <br />Completion Date of November 30, 2018 due to the unforeseen <br />field conditions.- Environmental testing (Lead and Asbestos <br />identification and abatement) and Structural issues pgr Keller <br />EAnineering repprt dated 10,1718 <br />See attached Comparison of Estimate for overruns and underruns. <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 />-------- 2P <br />Contractor Signature <br />1� - <br />N"--AM0tfA4 'JR-0j',ec_� 1AAb-,Jr,-4(-rr <br />Printed Namb and Thle <br />kow )� <br />Company name <br />4CO;6'—R,b IA <br />Address <br />TitL 464?-z <br />City, State, Zip <br />$ <br />907,000 <br />$ <br />0 <br />$ <br />- <br />907,000 <br />F-1 Increased <br />El Decreased $ <br />0 <br />$ <br />907,000 <br />March 22, 2019 <br />0 <br />0 <br />March 22, 2019 <br />RECOMMENDED FORAPPR O "AL <br />X <br />Contion Manager <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved DatK. � w(9 <br />Glo Ilresident <br />Suzann a' . Fritz "rg, Member <br />Elizabeth A. Maradik, Member <br />James A. Mueller, Member <br />Therese J. Ddrau, Member <br />0 % <br />0 % <br />