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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 />7/23/2019 <br />118-008 <br />St. Joseph Street Improvements <br />9/11 /2018 <br />1 <br />PCR #1-Add Line Item 'Borrow" PCR #3-Increase "Compacted <br />Aggregate, No. 53" PCR #4-Increase "HMA Patching Full Depth" <br />PCR #5-Final Quantity Ad ustment <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 State Road 23 <br />Address <br />South Bend„ IN 46614 <br />City, State, Zip <br />$ 423,000.00 <br />$ 0.00 <br />$ 423,000.00 <br />X Increased <br />Decreased <br />$ 26,436.52 <br />$ 449,436.52 <br />6.25 % <br />6.25 % <br />11 /29/2018 <br />0 da s <br />92 days <br />3/1 /2019 <br />CONS <br />TION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Dates .;. hoo <br />Gary A. Gil6t„ President <br />Genevieve E. Mif r, Member <br />Elizabeth AwMaradik, Member <br />There J. orau, Me " <br />„ <br />" aura L. O°Su ua „ ember <br />