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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 />12/9/2019 <br />119-049 <br />Vested Interest Building Roof Repair <br />9/24/2019 <br />1 <br />PCR #1-Leaving Roof Containing Asbestos in Place. PCR #2- <br />Additional cost involved with unknown roof and structural conditions. <br />Furnish & install plywood backer to meet manufacturers warranty <br />requirements at area drywall as discovered. PCR #3-Wood Deck <br />Replacement. PCR #4-Installation of Roof Drains & Roof Drain <br />Plumbing. <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 />ONISACTOR <br />C ntr t Signature <br />41,14J44T 10110-)oyA 6eye <br />Printed Name andTitle <br />Midland Engineering Company, Inc. <br />Company Name <br />52369 State Road 933 North <br />Address <br />South Bend, IN 46637 <br />City, State, Zip <br />$ 226,800.00 <br />$ 0.00 <br />$ 226,800.00 <br />X Increased <br />Decreased $ 21,288.10 <br />$ 248,088.10 <br />9.39 % <br />9.39 % <br />12/31 /2019 <br />0 days <br />O da s <br />12/31 /2019 <br />RECOMM,EN12ED FORQN <br />c <br />CONST r N MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC O7po <br />S <br />Approved Date: '� <br />W <br />Gary A. Gilot, resident <br />Genevi ve E. Miller Member <br />ta � I I � <br />Elizabeth A. Maradik:, Member <br />