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Change Order No 3 - Historic Leeper Park Improvements Project No 118-010A - Ancon Construction
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Change Order No 3 - Historic Leeper Park Improvements Project No 118-010A - Ancon Construction
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4/7/2025 12:56:02 PM
Creation date
9/25/2019 3:00:17 PM
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Board of Public Works
Document Type
Projects
Document Date
9/24/2019
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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 />8/19/2019 <br />118-010A <br />Historic Leeper Park Improvements <br />4/23/2019 <br />PCR #3-Quantity & Scope Adjustments <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 />-V- ' - <br />t <br />Con ra or Signature <br />Printed Name and itle <br />Company Name <br />Address <br />City, State, Zip <br />X Increased <br />Decreased <br />11/1/2019 <br />19 days <br />0 days <br />11/20/2019 <br />1,308,129.03 <br />37,668.04 <br />1,345,797.07 <br />27,017.29 <br />1,372,814.36 <br />2.01 % <br />4.94 % <br />CONSTRUCTION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC VVORKz <br />Approved Date / <br />Gary A. Gilot, resident <br />GenevievP E. Miller, M mber <br />IL <br />Elizabeth, A. aradik, Member <br />ere._..w J. k1brau, Me <br />j <br />Z6ra O"Sullivan M&-mber <br />
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