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Change Order <br />PROJECT: (Name and address) <br />17398 - Fire Station Number 9 <br />2108 Mishawaka Avenue <br />South Bend, IN 46615 <br />OWNER: (Name and address) <br />City of South Bend <br />Board of Public Works <br />227 West Jefferson Blvd <br />South Bend, IN 46614 <br />Document 1TM -:2017 <br />CONTRACT INFORMATION: <br />Contract For: General Construction <br />Date: March 13, 2018 <br />ARCHITECT: (Name and address) <br />EPOCH Architecture + Planning <br />300 West Jefferson Blvd <br />South Bend, IN 46601 <br />CHANGE ORDER INFORMATION: <br />Change Order Number: 003 <br />Date: January 8, 2019 <br />CONTRACTOR: (Name and address) <br />Ziolkowski Construction, Inc. <br />4050 Ralph Jones Drive <br />South Bend, IN 46628 <br />THE CONTRACT IS CHANGED AS FOLLOWS: <br />(Insert a detailed description of the change and, if applicable, attach or reference specific exhibits. Also include agreed upon adjustments <br />attributable to executed Construction Change Directives.) <br />1. RCO#007R1 - Stone mulch in lieu of wood mulch = Add $3,081.00 <br />2. RCO#008 - pre-emption traffic signal = Add $2,969.00 <br />3. RCO#010 - PR#008 - Item 2 - Second passageway at Front Porch = Add $2,169.00 <br />Total Add = $8,219.00 <br />The original Contract Sum was 3,652,500.00 <br />The net change by previously authorized Change Orders 7,140.00 <br />The Contract Sum prior to this Change Order was 3,659,640.00 <br />The Contract Sum will be increased by this Change Order in the amount of 8,219.00 <br />The new Contract Sum including this Change Order will be $ 3,667,859.00 <br />The Contract Time will be increased by Zero (0) days. <br />The new date of Substantial Completion will be <br />NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract <br />Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the <br />Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. <br />NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER <br />EPOCH Architecture <br />i� <br />a ''rl" 'Wa I �Zu <br />PRINTED NAME AND TITLE <br />D E <br />Ziolkowski Construction, Inc. <br />CONT CTOR (Firm name) <br />G <br />WNATURE <br />Bill Favors, President & CFO <br />PRINTED NAME AND TITLE <br />Janua 9,2019 <br />DATE <br />City of South Bend Board of Public <br />Works <br />OWNER (Firmaane) <br />W <br />d of Pui& work, <br />SIGNATURE <br />PRINTED NAM T <br />DATE <br />AIA Document G701 2017. Copyright © 1979. 1987, 2000 , 200 a <br />TM —1 and 2017 by The American Institute of Architects All rights reserved. fCWCA'alCv�lYw�llliff w ICluiia <br />aoQ'ion nirdi etuilbulion of tllhils AM" Iffauciminent, 01ir <br />allnAawaaxflauin of it Docuimeia a nay r�e,,�a�aaflInp�aa veirescWflnand oir�i uinallt e a�allf'es, and The irose tlaa�iru to ira xar axi a m i , „ <br />y 7 I� lia e,paoouuted ae 111a�a, urnaxuirmaauumu a,xfa.irnA. li�a�u„p,airlltuWa; wuariala.ir I.IVna. Ilaw, This <br />document was produced by ALA software at 08:02:38 ET on 01/09/2019 under Order No. 1093394963 which expires on 07/05/2019, and is not for resale, <br />User Notes: (3139ADA5B) <br />