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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />See attached letter for extension explanation <br />The original contract sum $ 3,818,000.00 <br />g yp Y g $ _0.00..... <br />Net change b 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 />Printed Name and Title <br />CBS p y es LLC <br />_ <br />Company name <br />Services, _ <br />ame <br />5005 Lincoln Way E.,,yLLSuite A <br />Address <br />Mishawaka, In. 46544 <br />City, State, Zip .....�.....�...�..._ �......e�e.................m....... <br />E.1 <br />El Increased <br />El Decreased $ <br />3,818,000.00 <br />0.00 <br />000.00 <br />0 <br />0 % <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC)Y, O S <br />Approved Date:5��� <br />Py A. Gilot, P �.'flcnl. <br />4ra Puli'vo,v� ) ;t,ainber <br />Elizabeth A. M.aradik, Member <br />Genevieve E. Miller, Member <br />➢",aerese J. Do�ao, cnabcr <br />