Laserfiche WebLink
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 />11/5/2019 <br />119-084 - <br />510 S. Main Street Buildin Improvements <br />9/10/2019 <br />PCR #5-Restroom Accoutrements PCR #6-Locking Thermostat <br />Covers PCR #7-Fence Tarp Deduct PCR #8-Remove Old Signage <br />PCR #9-Paint Facade PCR #10-Replace Extra Ceiling Tile PCR <br />#11-Add Water Heater PCR #12-Add 'Keep Off Signage PCR #13- <br />Furnace Repair PCR #14-Front Door Tint PCR #15-Replace Stolen <br />Do $� outs <br />The original contract sum <br />Net change by previously authorized change orders <br />The contract sum prior to this change order <br />By this Change Order, the project amount is <br />The new contract sum including this change order <br />This Change Order represents a total change of <br />Total change for entire project <br />Original contracted completion date/time <br />Extension of date/time by previous change orders <br />Date/time extension by this change order <br />New completion dateltime <br />w <br />Contractor Signature - <br />Printed Name and Title <br />HC3 LLC d/b/a St. Clair Develgpment <br />Company Name <br />P.O. Box 6114 <br />Address <br />South Bend, IN 46660 <br />City, State, Zip <br />$ <br />149,485.00 <br />$ <br />5,219.46 <br />$ <br />154,704.46 <br />Increased ' <br />t_J Decreased <br />$ <br />6,458.50_..._._._.�. <br />$ <br />�161,162.96 <br />4.17 % <br />7,81 % <br />10/25/2019 <br />0 days <br />_....._ <br />Oda s <br />10/2512019 <br />CONSTRUCTION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC ORtS <br />Approved Date. ,P <br />Gary A. Gilot, rresidenit <br />Genevieve E, Miller, Member <br />Elizabeth A. aradik, Member <br />There J. Dorau, ber <br />L ira L. O"Su va e ber, <br />