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OE COI. 1II BEh <br />CITY OF SOUTH BEND, INDIANA A. <br />DEPARTMENT OF PUBLIC WORKS x "` <br />PROJECT CHANGE ORDER <br />DATE: 10/4/2019 <br />PROJECT NO: 119-006 <br />PROJECT NAME: 2019 Larn000st Pro ram <br />CONTRACT DATE: 5/14/2019 <br />CHANGE ORDER NO: <br />SUBJECT OF CHANGE ORDER: . Additional eight 8 Solar,_Lamppost with Hand Auger Base <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 />Printed Name and Title <br />G Son <Sdav, 6+1 <br />Company Name <br />Co1R5 JI►Kh-i &Air gl% � F <br />Address <br />r�rf�ss 30 C 7 <br />City, State, Zip <br />x Increased <br />[� Decreased <br />0 days <br />0 days <br />$ 47,697.00 <br />$ 0.00 <br />$ 47,697.00 <br />$ 4�239.76 <br />$ 51,936.76 <br />8.89 % <br />8.89 % <br />QQ O <br />'' • <br />� � ;,. <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC ORKS <br />Approved Date: � <br />Gary A. Gilot, President <br />t"t E r, Member <br />Elizabeth A. M,radik, Member <br />Sullivan, Member <br />