Laserfiche WebLink
CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER raw <br />DATE: 12/18/18 <br />PROJECT NO: 118-102 <br />PROJECT NAME: Olive Production Well #6 Rehabilitation <br />CONTRACT DATE: 11/27/18 <br />CHANGE ORDER NO. <br />d i "surnmarNv___ chan - ges <br />SUBJECT OF CHANGE ORDER: S,o,, agtacfi�e'nerno or----- __ <br />See attachcd-Corn arison of Estimate for overruns and Linderl-Lins. <br />P ........ ... . ................ .. . . .... _ <br />The original contract sum <br />$ <br />$50,930.0 ' 0 <br />Net change by previously authorized change orders <br />$ <br />0 <br />The contract SLIM prior to this change order <br />$ <br />$50,930.00 <br />By this Change Order, the project amount is Increased <br />El Decreased <br />$ ..... . ........... <br />$12,307.00 <br />_$6_3,237_.60 <br />The new Contract SLIM including this change order <br />$ <br />This Change Order represents a total change of <br />. . ...... 2.4� % <br />Total change for entire project <br />24 % <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 />41 J 0 A'b u u n, <br />Contractor Signature <br />Printed Name and Title <br />Peet -less Midwest <br />Company name <br />55860 Russell Industrial P <br />Address <br />Mishawaka, IN, 46545 <br />City, State, Zip <br />January 3011, 2019 <br />................... <br />...... . ........... . <br />Project Manager <br />CITY OF SOUTH BEND <br />BOARD OF I'MILIC' %V() U(S <br />A13proved Dare 0 <br />Gary A. 60K, President <br />Skizanna M. Fwzbo'g, Member <br />...... . ..... ..................... . <br />i7i 1"th A � M "Cb� _7 . ... .................. <br />Meniber <br />J<11 <br />----- ----- <br />Therese J. D(hau, Member <br />