Change Order No 4 - Erskine Clubhouse Renovation Project No 116-108 - Ziolkowski Construction

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1A 9.n Document G701'm - 2017 Change Order PROJECT: (Name and address) 17043 - Erskine Clubhouse Renovation City Project #236563 OWNER: (Name and address) Board of Public Works City of South Bend, IN 1316 County City Building 227 W Jefferson Boulevard South Bend, IN 466011830 CONTRACT INFORMATION: Contract For: General Construction Date: 8/28/2018 ARCHITECT: (Name and address) Gregory A. Kil & Associates, Inc (d/b/a) Kil Architecture / Planning 1126 Lincolnway East South Bend, IN 46601 CHANGE ORDER INFORMATION: Change Order Number: 04 Date: 12/6/2018 CONTRACTOR: (Name and address) Ziolkowski Construction Co., Inc. 4050 Ralph Jones Drive South Bend, IN 46628 THE CONTRACT IS CHANGED AS FOLLOWS: (Insert a detailed description of the change and, if applicable, attach or reference specific exhibits. Also include agreed upon adjustments attributable to executed Construction Change Directives.) Per the attached RCO #010, deduct $15,400.00 for elimination of work associated with installation of a new fire alarm system, not required by Code and approved by SB Bldg Dept. The original Contract Sum was $ 907,000.00 The net change by previously authorized Change Orders $ 18 370.00 The Contract Sum prior to this Change Order was $ 925,370.00 The Contract Sum will be decreased by this Change Order in the amount of $-15,400.00 The new Contract Sum including this Change Order will be $ 940,770.00 The Contract Time will be increased by Zero (0) days. The new date of Substantial Completion will be March 22, 2019 NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE. ARCHITECT, CONTRACTOR AND OWNER. Gregory A. Kil & Associates, Inc. KiI, ,AR,B, AIA Architect PRINTED NME AND TITLE l z.f � .(g DATE Ziolkowski Construction, Inc CONTRACTOR (Firm name) I� SIGNATURE PRINTED NAME AND TITLE t1.-lt.i DATE Board of Public Works, City of South Bend, IN OWNER of a`rm na'APPAQ,,, SIGNATURE AIA Document G701 TM — 2017. Copyright © 1979, 1987. 2000 , 2001 and 2017 by The American Institute of Architects. All rights reserved. 67aRftiiw Gf This AIUAW', Doc uinneirnit is piroten.ded any I[L& Copyright ILaw ami IIntr.r naut,ionaui 11'reafies, D.tn uwkha:nu°ized repro uuct@oin oir a:DWidlA.uu,mD:iu�uirm ofthis MAP ICDociurnent, oir any purr°fiio n of it, un ay ir° muullt in severe r Wfl and crirnwftmll paaruarlltics and willll be IGau°ansa.c uteri to the mauiArTmun exta snit paa,u,uumWe undeir the iamw. This document was produced by AIA software at 15:45:02 ET on 12/06/2018 under Order No. 9807103174 which expires on 12/06/2019, and is not for resale. User Notes: (3139ADA4E)