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CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: <br />5/3/2019 <br />PROJECT NO: <br />118-021A <br />PROJECT NAME: <br />Cleveland Well Field Refurbishments - Program <br />Related Items <br />CONTRACT DATE: <br />4/9/2019 <br />CHANGE ORDER NO: <br />1 <br />SUBJECT OF CHANGE ORDER: <br />_ <br />PCR #1-Upgrade Two (2) HMI's from C-More EA9 to A-B PVPIus 7 <br />Performance - 10" Wide. (1 EA $1,947.99 <br />The original contract sum <br />Net change by previously authorized change orders <br />The contract sum prior to this change order <br />By this Change Order, the project amount is <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/time extension by this change order <br />New completion date/time <br />CONTRACTOR <br />Contractor Signature <br />.... _.. . <br />Printed Name and Title <br />Peerless Midwest, Inc. <br />Company Name <br />55860 Russell Industrial Parkwa <br />Address <br />Mishawaka„ IN 46545 <br />City, State, Zip <br />Increased <br />Decreased $ <br />5/31 /2019 <br />0 days <br />0 days <br />5/31 /2019 <br />136,850.00 <br />0.00 <br />_................ <br />136,850.00 <br />3,894.00 <br />140,744.00 <br />2.85 % <br />2.85 % <br />RE.QOMMEb1,QED Fga 6EPRQYAL <br />m <br />CON T ION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUB <br />Approved Date: - <br />Gary A. Gilt' President <br />Genevi ve E. Mill r, Member <br />Elizabeth A, Maradik, Member <br />Th r se J. Dot`"Vem <br />r <br />„✓t.. <br />aura O'Sullivan,----- _ � . <br />