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CITY OF SOUTH BEND, INDIANA <br />WWTP SECONDARY TREATMENT IMPROVEMENTS <br />CITY PROJECT NO. 114-053 <br />CHANGE ORDER PROPOSAL <br />Change Order Proposal No.: 114-053 13 3 Date 3/2//1,8 <br />Submitted in Response to Proposal Request No.: <br />Contract Name and No 1 14-053 South Bend 'i�t'"4 1 l' econc;lal [!,:pmtrt �nC tt Iarc) Ile )IS <br />Contractor wl 1lip11pj11gn � �1!1s1 tM 1,�;on, �tq,. <br />Subject: Additional costs from Sweney to perform a revised short circuit test as requested due to <br />AEP using a different transformer than they had previously provided data for. Due to the tardiness <br />of this submission, I have eliminated any unnecessary markups. This missing PCO was discovered <br />recently during my audits of all PO's and Subcontracts. <br />The following changes to the Contract are proposed: <br />SCOPE OF WORK: (attach and list supporting information as required) <br />1. Item: TCI — See attached cost breakdown - $0.00 <br />2. Item: Sweney — See attached cost breakdown - $1,323.00 <br />JUSTIFICATION: <br />1. Item: Owner request <br />CHANGES IN CONTRACT PRICE AND CONTRACT TIMES: <br />We propose that the Contract Price and Contract Times be changed as follows: <br />For Contract Price, when requested by Engineer, attach detailed cost breakdowns for Contractor and <br />Subcontractors, Supplier quotations, and other information required. <br />For the Contract Times, state increase, decrease, or no change to Contract Times for .Substantial Completion, <br />readiness forfenal payment; and Milestones, ifany. /fincrease or decrease, state specific number ofdays for changes <br />to the Contract Times. <br />Contract Times (da S <br />Descri tion Amount Substantial Final <br />1. Item —Direct Costs $1,323 0 0 <br />2. Item — Marku s. 5% Subs / 15% TCI $0 0 0 <br />Total Thts Change Order Proposal ... �_.... — $1.,323 __.....�..e.a ._....__wa �m................�................... <br />Changes to Milestones if any: 0 days. <br />The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it <br />is entitled as a result of the proposed change. <br />Change Order Proposal By: <br />Signature of Proposer: . _._.— <br />