Laserfiche WebLink
CITY OF SOUTH BEND, INDIANA* <br />JG A <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: 8/21/2019 <br />PROJECT NO: 117-055A <br />LINCOLN WAY EAST CORRIDOR IMPROVEMENTS - SAMPLE <br />PROJECT NAME: STREET TO TWYCKENHAM DRIVE <br />CONTRACT DATE: 9/11/2018 <br />CHANGE ORDER NO: 3 <br />SUBJECT OF CHANGE ORDER: PCR #3-Install D ell to Resolve a Draina a Issue. <br />The original contract sum $ 459,000.00 <br />Net change by previously authorized change orders $ 23,428.89 <br />The contract sum prior to this change order $ 482,428.89 <br />By this Change Order, the project amount is X Increased <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 />LOLOIZt1l,•: <br />� �-= I <br />-6e -- --- <br />Contractor Signature <br />Printed Name and Title <br />Walsh,A_NI ro Inc. <br />Company Name_ _.__ <br />�_....� <br />24358 SR 23 <br />Address <br />South Bend, IN 46614 <br />�._. _._._�_ _.................._,. <br />City, State, Zip <br />8,025.00 <br />El Decreased <br />$....._490,453.89 <br />1.66 % <br />6.85 % <br />11 /2/2018 <br />0 da s <br />309 da <br />9/7/2019 _.. <br />R9CQMMf• •APE!ROVAL <br />ANAGER <br />IV <br />r w <br />CITY OF SOUTH BEND <br />BOARD OF PUBLl WOR S <br />Approved Date: ' <br />>a, <br />ary A Gil President <br />Genevi ve E. Miller, M Tnber <br />,5 <br />Elizabeth A Maradik, Member <br />