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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 />7/9/2019 <br />119-042 <br />Lafayette Building Drain Replacement <br />5/14/2019 <br />1 <br />PCR #1-Add Line Item: Sub Floor Drain Replacement PCR #2-Add <br />Line Item: Backfill Trench <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 ignature <br />, <br />lr�" r <br />P r i n t e I Name an itle <br />Niezgodski Company Name bin ,Inc. <br />232 North Mayflower Road <br />Address <br />South Bend, IN 46619 <br />City, State, Zip <br />$ 37,127.00 <br />$ 0.00 <br />$ 37127.00 <br />Increased <br />F] Decreased $ 20,745.60 <br />$ 57,872.60 <br />55.88 % <br />55.88 % <br />7/5/2019 <br />0 days <br />0 days <br />7/5/2019 <br />CONSTR ON MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC W RKS <br />Approved Date: <br />m, <br />Gary A. Gilot, President <br />Genevi ve E. Miller, Member <br />!is OIL <br />Eliza eth A. Maradik, Member <br />Therese J. Dor u, M <br />aura L. O'Sulliv in-,-M leer <br />