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SOUTH BEND PARKS PROGRAM <br />CHANGE ORDER NO. _9_ COVER SHEET <br />DATE INITIATED: 9-11-19 REQUIRED APPROVAL DATE: <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.) <br />1. Lowered Soffit & LVT Tile for polished floor —Owner Directed <br />2. Wood Storage platform Above B103 - Owner Directed <br />3. AV Stairs Cheek Walls -Omission <br />4. Furnish & install Electric Solenoid Locking Panic Devices -Owner requested <br />5. Delete Laser Etch Graphic -Owner requested <br />6. Vestibule A100 South Slider -Error <br />7. Limestone Agg Capp inside playground -Error <br />8. Paint Accent Walls in Office -Omission <br />9. Down Payment on Vlocker-Owner Directed <br />10. Swap Sidewinder Slide with tube slide -Error <br />11. Forms & Surfaces Liter & Recycle Cans -Owner Directed <br />12. Blocking for Signage - Omission <br />Saint Louis Street <br />1. Added Demo/Excavation @ Old bridge Abutment - Differing Site Conditions <br />2. Added Storm to Connect to Structure #21 — Error <br />3. Remove Asphalt & Concrete for Mole hole water line — Omission <br />4. Added Asphalt @ Saint Louis- Omission <br />Increase/(Decrease) from previously approved Change Order(s): <br />$ 128,359.00 <br />Date/Time Added: <br />New Contract Sum with This Change Order: <br />Y V t <br />Percent of Change Order: <br />,68 % <br />SUBMITTED/PREPARED BY: <br />Categories (PICK Une): <br />Scope of Work <br />Differing Site Conditions, Changed Conditions <br />Conflicted Specifications and Drawings <br />Failed Materials <br />Errors and Omissions <br />Incentive/Disincentive <br />Final Quantity Adjustment <br />ENDORSEMENTS/APPROVALS <br />Resident Project Representative (Print Name) (Sign tare) (Date) <br />RECOMMENDED: <br />�fi t t <br />Construction Manager (Print Name) <br />RECOMMEND <br />2111 <br />Project n r (Print Name) <br />REVIEWED: <br />Project Manager, Venue, Parks and Arts (Print Name) <br />RE'COM LADED FT APPROVAL: <br />Director, Venue, Parks and Arts (Print Name) <br />nI <br />(Signature) (Date) <br />(Signature) (Date) <br />(Signature) (Date) <br />W <br />(Signature) ` (Date) <br />