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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: 09/10/2019 <br />PROJECT NO: 117-027 <br />PROJECT NAME: Farmington 14A Lift Station Rehabilitation <br />CONTRACT DATE: 11/28/2017 <br />CHANGE ORDER NO. 001 _ <br />SUBJECT OF CHANGE ORDER: Credit 23 m125.23 Ad"usted Quantities Underruns & Overruns All items completed substantially as planned. <br />See attached Comparison of Estimate for overruns and underruns. <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 />CONTRA TOR <br />ContrJ for Signature <br />John W. Boettcher, President <br />Printed Name and Title <br />John Boettcher Sewer & Excavatin <br />Company name <br />3305 North Home Street <br />Address <br />Mishawaka, Indiana 46545 <br />City, State, Zip <br />❑ Increased <br />® Decreased <br />$ 360,577.79 <br />$ 0.00 <br />$ 360,577.79 <br />$ 23„125.23 <br />$ 337,452.56 <br />-6.41 % <br />-6.41 % <br />05/13/2018 <br />0 days <br />........ .......-..... <br />9/30/2018 (140 Days); Adjustment due to <br />Electrical Cabinet Su plies Delay <br />9/30/2018 <br />RECOMMENDED FOR APPROVAL <br />M . ,� 09.23-Zvi 9 <br />onstruction Manager <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC O �S <br />Approved Date:" <br />e- - <br />M .w <br />O'Sullivan, M <br />Geneve E. Miller,al— <br />ETJ�za6eTfituber <br />A. M radik„ Member <br />Therese J. rau, Member <br />