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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 />5/28/2019 <br />117-055A <br />LINCOLN WAY EAST CORRIDOR IMPROVEMENTS - SAMPLE <br />STREET TO TWYCKENHAM DRIVE <br />9/11 /2018 <br />PCR #2-Damaged Guardrail Repairs, <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 />Printed Name and Title <br />Walsh &,Kelly, Inc, <br />Company Name <br />24358 SR 23 <br />Address <br />South Bend, IN 46614 <br />City, State, Zip <br />$ <br />459,000.00 <br />$ <br />16,385.00 <br />$ <br />475,385.00 <br />X Increased <br />Decreased <br />$ <br />7 043.89 <br />$ <br />482 428.89 <br />1.48 % <br />5.10 % <br />11/2/2018 <br />0 da s <br />0 days <br />11/2/2018 <br />R APP <br />CONSTRVgION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WOR S <br />Approved Date: <br />Gary A. Gil , President <br />Genevie e E. Miller„ Member <br />k, . I I <br />UJ <br />Elizabeth A. Maradik, Member <br />Therese J. D6Yau, Member <br />Laura O'Sullivan, Member <br />