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CITY OF SOUTH BEND, INDIANAh� <br />DEPARTMENT OF PUBLIC WORKSs,� <br />PROJECT CHANGE ORDER <br />DATE: 11 /7/2019 <br />PROJECT NO: 117-031 R m ..�.... ....._ <br />PROJECT NAME: Water Works North Pumping Station Well Re lac ement <br />CONTRACT DATE: 2/26/2019 <br />.,,,...__ ,...,,_. _ _ �......�..._ <br />CHANGE ORDER NO: 3 <br />SUBJECT OF CHANGE ORDER: PCR #3-Provide and Install a V1 K Open Enclosure and dV/dT <br />Output Filter. <br />e original contract sum <br />$ . <br />___.....�o............... 00 <br />_____-- 532 763. <br />Net change by previously authorized change orders <br />$ <br />10,807.72 <br />The contract sum prior to this change order <br />$ <br />543,570.72 <br />By this Change Order, the project amount is <br />Increased <br />1XI <br />_m <br />� Decreased <br />$ <br />3,988.00 <br />The new contract sum including this change order <br />$m547,558.72 <br />This Change Order represents a total change of <br />0.73 % <br />Total change for entire project <br />2.78 % <br />Original contracted completion date/time <br />12/21/2019 <br />Extension of date/time by previous change orders <br />0 des <br />Date/time extension by this change order <br />O�days <br />New completion date/time <br />12/21/2019 <br />CONTRACTOR <br />Contractor Signature <br />CONSTR <br />MANAGER <br />9VAPrinted 1 ":w. A,:... <br />ted Name and Tl-il;le <br />Peerless Midwest, Inc. <br />Company Name <br />55860 Russell Industrial Parkwa <br />Address <br />Mishawaka, IN 46545 <br />City, State, Zip <br />CITY OF SOUTH BEND <br />BOARD OF PUBL WORKS <br />Approved Date / oZo <br />Gary A. Gilot�,resident <br />Genevie a E. Miller, Member <br />E i abetii A. Maradik, Member <br />J. Dorau, <br />ura O'Sullivan, Member <br />