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ears: arxr;y <br />SOUTH BEND PARKS PROGRAM <br />CHANGE ORDER NO. 3 COVER SHEET <br />DATE INITIATED: 12-20718 REQUIRED APPROVAL DATE: <br />„................. <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />Item #1 Missed resteel in water tank floor <br />Item #2 Missed resteel in Water Tank/ basement wall foundation <br />Item #3 Missed Hook bars in utility building basement wall tops <br />Item #4 Missed the Steel on the ends of the roof overhangs <br />Item #5 Missed the sump pump in the water tank <br />Item #6 Needed to keep power to the River walk Lights, old power ran through poles that had to be removed to construct fill. <br />Item #7 Missed perimeter foundation insulation on utility building <br />Item #8 New River Walk Lighting fixtures added at owners request <br />Item #9 Plans called for pergola foundations to be determined later <br />Attachments: (List documents support change, if any) <br />ego <br />Increase/(Decrease) from previously approved Change Order(s): Categories <br />ries (Pick One): <br />$ 147 758,,58 .... _ .............. El Scope of Work <br />— Differing Site Conditions, Changed Conditions <br />Date// Time Added : <br />] Conflicted Specifications and Drawings <br />Failed Materials <br />New Contract Sum withThisChange Order _A... _ E Errors and Omissions <br />$� 17 894 326 58 0 Incentive/Disincentive <br />Percent of Chan a Order ...... ������ Final Quantity Adjustment <br />9 <br />.�.e... (4•91)............ .. % Orouner Durected <br />ENDOR NTS/APPROVALS <br />SUBMITTED/PREPARED BY: <br />Resident Project Representative Print Name(Signature) �������������� ������ <br />1 p ( ) (D�) <br />RECOMMENDED: <br />_ �. �.... <br />Construction Manager (Print Name) (Signature „ Date <br />RECOMMENDED: <br />lea - - — ------ AMz2- <br />Project Manager (Print Name) (Sin rre,) (Date) <br />REVIEWED: <br />Project Manager, Venue, Parks and Arts (Print Name) (Signature) (Date) <br />RECOMMENDED FOR APPROVAL: <br />Director, Ven <br />ue, Parks and Arts (Print Name) (SigP. (Date) <br />