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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: 12/18118 <br />PROJECT NO: f- 1 8 1 03 <br />. .......... ... . . <br />PROJECT NAME: Edison Production Well VA Rehnbilitation <br />CONTRACT DATE: <br />CHANGE ORDER NO. <br />SUBJECT OF CHANGE ORDER- See attact'ied rnemu fu sw Y,a r of cl ar es. <br />Scc attachud Comparison of 161- OV('111111S and Lln&1-runs. <br />................. <br />HIC 06Q)illal COI)tlad SUM <br />NO change by previously authorised change orders <br />I he C0110',10 SLIM prior to this change order <br />By this Change Order, the project amOL11-It is <br />Increased <br />Dccreased <br />I he DeNV COMI-2Ct SUM illClUdille, this CIIWIP,e (a -del' <br />!'his Chalwe Order repi-cscills a total change of <br />OILIJ ChtM,12e 101r enure pro -jest <br />01-iL�iMll Co11L1',1dCd complelion datc/time <br />I'Atension ol'clatc/lime by previous change orders <br />Dmte.'time extension by this change order <br />New completion clatcAime <br />mflmmflm�I <br />i, LJ <br />Conaraetor Signature <br />tJkl I <br />Printed Name anci Ti0e <br />C0111pany 11ame <br />lndu,stiial Parksya), .......... . ............... .. <br />Address <br />Mi,.diamflw, fT,Q,, 465/15 <br />City. Slate, zip <br />S S11 9,99 1 <br />%d 1,991 J)0 <br />JaIlLiffl'y 301", '20 19 <br />S 13. 19,0 0 <br />6 <br />RI MENDED F PPROVAI <br />Project Manager <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Datc: <br />(.puy A- Gilva., Presideiii <br />,)LIM11na M. NIC1111"wr <br />0- <br />II i;c i /cs,? ) 'm "'NI e -n i be, j <br />