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TM AIADocument G 1 2017
<br />Change Order
<br />PROJECT: (Name and address) CONTRACT INFORMATION: CHANGE ORDER INFORMATION:
<br />17043 - Erskine Clubhouse Renovation Contract For: General Construction Change Order Number: 08
<br />City Project #236563 Date: 8/28/2018 Date: 2/4/2019
<br />OWNER: (Name and address)
<br />ARCHITECT: (Name and address)
<br />CONTRACTOR: (Name and address)
<br />Board of Public Works
<br />Gregory A. Kil & Associates, Inc.
<br />Ziolkowski Construction Co., Inc.
<br />City of South Bend, IN
<br />1316 County City Building
<br />(d/b/a) Kil Architecture / Planning
<br />4050 Ralph Jones Drive
<br />227 W Jefferson Boulevard
<br />1126 Lincolnway East
<br />South Bend, IN 46628
<br />South Bend, IN 466011830
<br />South Bend, IN 46601
<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 />Per the attached RCO #022, add $760.00 to modify two (2) exhaust fans and associated ductwork per RFI4038.
<br />Per the attached RCO #023, add $8,310.00 to provide labor, material and equipment to install IT/Data.
<br />Per the attached RCO #024, no change in cost to revise the lighting on the lower level.
<br />Per the attached RCO #027, add $3,062.00 to provide labor, material and equipment to remove unforeseen plaster ceiling, suspened ceiling
<br />tile and grid location on the ground floor level per RFi 002.
<br />Per the attached RCO #028, add $460.00 to provide labor and material to install R-13 foil faced insulation in west gable end wall per RFI
<br />037.
<br />Per the attached RCO # 029, add $11,272.00 to provide labor, material and equipment to remove stone for two (2) new openings per
<br />referenced drawings. Base price is to use Tublite 14000 series Kynar White fixed windows. Glass to be 1" clear insulated withmuttons.
<br />The original Contract Sum was $ 907 000.00
<br />The net change by previously authorized Change Orders $ 83,126.00
<br />The Contract Sum prior to this Change Order was $ 990,126.00
<br />The Contract Sum will be increased by this Change Order in the amount of $ 23,864.00
<br />The new Contract Sum including this Change Order will be $ 1,013,990.00
<br />The Contract Time will be increased by Zero (0) days.
<br />The new date of Substantial Completion will be March 22, 2019
<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 />Gregory A. Kil & Associates, Inc. Ziolkowski Construction, Inc
<br />A ITE w t rDm1r/tca d CONTRACTOR (Firm name)
<br />SI T&C
<br />SIGNATURE
<br />t AAArchitectCr,
<br />(.m Ma r
<br />PR T AND TITLE PRINTED NAME AND TITLE
<br />Z-S•t
<br />DATE DATE
<br />Board of Public Works, City of South
<br />Bend, IN
<br />OWNER (k-h ru:arDr
<br />Of Pawic W46
<br />SIGNATURE t, CEB
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<br />DATE
<br />AIATM : T
<br />yIUA Document t n70mu.m, k 201t7a U pyrightmll 91791119w71r2000 , 2001 and 2017 by The Americanµ Institute reserved. tD .^ Instit a of Au"c 1te A hts
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<br />any Iiummu°U`ion of it., may resuullt in seveum: a;lia i and ciriiurrutiiaaall penaffiea, and wilill The prosercuted to the uamaaxlirnuuumu extent 14masssill;ulle under the Ilaw, This
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