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CITY OF SOUTH BEND, INDIANA�""' <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: 5/9/2019 <br />PROJECT NO: 118-021A <br />PROJECT NAME: Cleveland Well Field Refurbishments - Proam rRelated Items <br />_w_ <br />CONTRACT DATE: 4/9/2019 <br />CHANGE ORDER NO: 2 <br />SUBJECT OF CHANGE ORDER: PCR #2-integrate SCADA Programming. <br />.................. <br />The original contract sum $ 136,850.00 <br />.......................... <br />Net change by previously authorized change orders $ 3,894.00 <br />The contract sum prior to this change order $ 140,744.00 <br />By this Change Order, the project amount is N <br />Increased <br />Decreased $ 4,500.00 <br />The new contract sum including this change order $ 145,244.00 <br />This Change Order represents a total change of 3.20 % <br />Total change for entire project 6.13 % <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 />i <br />Contractor Signature <br />Printed Name and Title <br />Peerless Midwest, Inc. <br />_. ....... _..w.w......... <br />Company Name <br />55860 Russell Industrial Parkway <br />Address <br />Mishawaka, IN 46545 <br />City, State, Zip <br />5/31 /2019 <br />0 days <br />4 days <br />6/4/2019 <br />• a. • • Low <br />• µ I • <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIS <br />Approved Date: <br />Gary A. Gilot, President <br />Genevii a E. Miller Member <br />Elizabeth A. Maradik Member <br />T i e�arau _.i Nli�nft' <br />ura O'Sullivan, . er <br />