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Page No 1 of 1 Pages <br />MICHIANA CONTRACTING INC <br />u 7843 LILAC ROAD <br />„ PO BOX 929 CHANGE <br />1�.ns <br />PLYMOUTH IN 46563 ADDITIONAL WORK ODDER <br />PHONE:574-936-8613 FAX:574-936-6201 <br />TO' Greg McGowan PHONE DATE <br />Project Inspector 1 3/20/2019 <br />Department of Public Works JOB NUMBER/LOCATION <br />Division of Engineering 189G - VPA Restroom Remodeling <br />574-235-9001 Rum Village <br />Potawatomi <br />JOB NUMBER JOB PHONE <br />118-043R <br />We hereby agree to the chang(s) or additional work specified below: <br />DUE TO DESIGN OMISSIONS THESE CHANGES HAVE OCCURRED: <br />1 Provide 5' wide new sidewalks in lieu of 4' wide sidewalks/ wheelchair passing zone at Rum <br />Village Park as shown on drawing sheet RV-100. Include 24" of detectable warning surface per <br />City of South Bend Standard 2-42. <br />$1,710.00 No Tax <br />2 Provide additional material and labor for ceramic tile installation at Potawatomi Park Women's <br />Restroom, from 5'-6" aff (as shown on the drawings) to ceiling trim board (approx. 8'-8" aff).P <br />$180.00 No Tax <br />3 Provide mixing valves for lavatory faucets (push button with single supply) at Potawatomi Park <br />(four total) and Southeast Neighborhood Park (four total) as shown on sheets PO-110 and SE- <br />110. Thermostatic mixing valve w/2 flex connectors & labor to install: Per valve $195.00 <br />8-Valve $1,560.00 No Tax <br />4 Bobrick double roll paper dispencer: Bid Allowance: $333.08 <br />New Spec: Rolls Royce TP-2: Cost $1,021.90 <br />Price Increase $688.82 <br />CHANGE ORDER #001 WILL INCREASE CONTRACT BY 0.08% <br />Te�� <br />Note: This Change Order becomes part of and in conformance with the existing cont1t. I <br />We Agree hereby to make the change(s) specified above at this pride <br />Date of Agreement: PREVIOUS CONTRACT AMOU T <br />Authorized Signature R 'ViSEO CONTRACT TOTAL $ <br />Payment to be made as follows: Per contract documents <br />Accepted: The above prices and <br />specifications of this Change Order are satisfactory Authorized <br />and are hereby accepted. All work to be performed Signature <br />under same terms and conditions as specified in (Owner) <br />original contract unless otherwise stipulated. <br />Date of Acceptance <br />