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CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CHANGE ORDER NO: <br />SUBJECT OF CHANGE ORDER: <br />6/20/2019 <br />118-043 R <br />VPA Restroom Remodel <br />1 /22/2019 <br />PCR #1-Unforeseen conditions & omissions <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 />Contractors nature <br />Printed Name a d Title <br />Michiana Contractin Inc. <br />Company Name <br />7843 Lilac Rd. PO Box 929 <br />Address <br />Plymouth, IN 46563 <br />City, State, Zip <br />$ <br />R-11 Increased <br />Decreased $ <br />8/30/2019 <br />0 days <br />0 days <br />8/30/2019 <br />490,000.00 <br />0.00 <br />490,000.00 <br />35,250.82 <br />525,250.82 <br />7.19 % <br />7.19 % <br />RECOMMENDED FOS-APPRQY-AL, <br />-ION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC 0 KS <br />Approved Dat&: �w°°" <br />zt <br />Gary A. Gi ot, President <br />Z <br />vi ve E. Miller„ Member <br />UJ <br />Elizabeth A. Maradik, Member <br />d <br />herese J. D6rau, Member <br />Laura O'Sullivan, Member <br />