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SOUTH BEND PARKS PROGRAM <br />CHANGE ORDER NO. 11_ COVER SHEET <br />'ATE INITIATED: 11-1-19 REQUIRED APPROVAL DATE: <br />,rief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />1. Bocce Court Grades - omission <br />2. Mill Work Changes - Owner Directed <br />3. Vlocker wall Changes- Owner Directed <br />4. Fire Pit Controls -Owner Directed <br />5. Store Front door Support Building- Owner Directed <br />6. Support Building Flooring- Owner Directed <br />7. Credit 24 outdoor network runs -Owner directed <br />8. Dimmer Modules for Community Building- Omission <br />9. Lock Cores credit -Owner Directed <br />10. HDPE Ceiling Per ASI #34- Omission <br />11. Delete Book Case A110 —Owner Directed <br />12. Dim Ice Trail Lights- omission <br />13. Column @ Pergola -Owner Directed <br />14. Tesco Cabinets -Omission <br />15. Added Trench Drains Fountain -Omission <br />16. Delete AV Gate- Owner Directed <br />17. Fountain Cylinders- Owner Directed <br />icrease/(Decrease) from previously approved Change Order(s) <br />157, 546.91 <br />late/Time Added: <br />lew Contract Sum with This Change Order: <br />18 604 635.57 <br />'ercent of Change Order: <br />UBMITTED/PREPARED BY: <br />lesident roject Representa e (Print Name) <br />IECOMMENDED: <br />lonstruction Manag r (Print Name) <br />IECOMMENDED: <br />L <br />'roject Manager (Print Name) <br />IEVIEWED: <br />Z�! <br />'roject Manager, Venue, Parks and Arts (Print Name) <br />IECOMME ED FORAPPROVAL: <br />lirector, Venue, Parks and Arts (Print Name) <br />Categories (Pick One): <br />E] 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 />Owner Directed <br />ENDORSEMENTS/APPROVALS <br />(� gr�attar'e) <br />(Signature) <br />(Sjgnat r <br />(Signature) m <br />(Signature) <br />ll-y- <br />(Date) <br />11.4-19 <br />(Date) <br />Ab�? <br />(Date) <br />, I/ <br />(Date) <br />(Date) <br />