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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: 01 /29/19 <br />PROJECT NO: 118-103 <br />PROJECT NAME: Edison Production Well #2A Rehabilitation <br />CONTRACT DATE: 11/27/18 <br />CHANGE ORDER NO. 2 <br />SUBJECT OF CHANGE ORDER: See at1 cN e d rn rr for sunimary of chap es. <br />See attached Coinpa6son of Estimate for overruns and underruns. <br />The original contract sum $ 49,991.00 <br />Net change by previously authorized change orders $ 13,149.00 <br />The contract sum prior to this change order $ 63,140.00 <br />By this Change Order, the project amount is El increased <br />The new contract sum including this change order <br />This Change Order represents a total change of <br />Total change for entire project <br />Original contracted completion date/time <br />Extension of date/time by previous change orders <br />Date/tinie extension by this change order <br />New completion date/time <br />CONTRACTOR <br />Contractor Signature <br />T/cn�C. �.��I.. m..... <br />�„aY <br />Printed Name and Title <br />Peerless Midwest <br />Company name <br />5._ <br />ial5860 Russell IndustrParkwa <br />A <br />ddress <br />Mishawaka, IN, 46545 <br />City, State, Zip <br />El Decreased $ <br />$ <br />0 % <br />0 % <br />January 30, 2019 <br />February 5,2019 <br />February 5, 2019 _ <br />- RECOMMENDED FOR APPROVAL <br />14 1, " <br />........ <br />Project Manager <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC ';71'O:Rl' S <br />Approved Date: <br />Gary A. t i11 t, Pfesidertt <br />Suzanna Fritzberg, Member <br />Eba�A,�dil�, Member. <br />LAQ4,4 e'S5 lw KI�Mernber <br />Therese J. Dorau, Member <br />