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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 />9/18/2019 <br />118-075 <br />Michigan Street Pavement Re lacemetit Base + Alt. Al A2 & B <br />5/28/2019 <br />PC #1-4-Stop Sign Flashing Beacons ($2,229.75/EA=$8,919), <br />Replace Storm Structure #6071 ($2,382), 3-Wayfinding Pole <br />Foundations ($1,525/EA=$4,575), 4-Wayfinding Kiosk Foundations <br />($1,818/EA=$7,272), XyPex Waterproofing ($2,047.60). Add 21 <br />Contract Days for Jefferson Bump Out Work, Conduit Encased in <br />Curb, and SJCPL Sewer Work; Bringing Substantial Completion <br />Date to 9/27/19. <br />The original contract sum <br />Net change by previously authorized change orders <br />The contract sum prior to this change order <br />By this Change Order, the project amount is <br />The new contract sum including this change order <br />This Change Order represents a total change of <br />Total change for entire project <br />Original contracted completion date/time <br />Extension of date/time by previous change orders <br />Date/time extension by this change order <br />New completion date/time <br />CONTRACTOR <br />Contractor Signature <br />e 6/ew <br />Printed Name and Title <br />Walsh & Kelly, Inc. <br />Company Name <br />24358 SR 23 <br />Address <br />South Bend,IN 46614 <br />City, State, Zip <br />$ <br />1,912,399.00 <br />$ <br />0.00 <br />$ <br />1,912,399.00 <br />X Increased <br />Decreased <br />$ <br />25,195.60 <br />$ <br />1,937,594.60 <br />1.32 % <br />1.32 % <br />10/15/2019 <br />0 days <br />21 days <br />11 /5/2019 <br />CONSTRUCTION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC'W1 ORK <br />Approved Date: <br />Gary A. Gilot, President <br />Genevieve E. Miller -Member <br />Elizabeth <br />Do,ray.,., mber <br />ura O'Sullivan, Member <br />