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nalnftmn <br />52369 State Road 933 N. <br />South Bend, IN 46637 <br />Phone: (574) 272-0200 <br />Fax: (574) 272-7400 <br />To: CITY OF SOUTH BEND <br />Charlotte Branch <br />227 W JEFFERSON BLVD <br />SOUTH BEND, IN 46601 <br />Project: VESTED INTEREST BLDG ROOF REP <br />RFC No: 4 <br />Date: 12/6/2019 <br />Description: Additional cost associated with installation of new roof drains and rework <br />of existingroof drain piping. <br />The above work is subject to the same conditions as specified in the original contract <br />unless otherwise stipulated. <br />Upon approval the sum of $8,370.67 will be added to the contract price. <br />Original Contract $226,800.00 <br />Other Approved Change Orders $0.00 <br />Total Contract to Date $226,800.00 <br />This Request $8,370.67 <br />Other Pending Requests $12,917.43 <br />Total Contract plus Pending RFCs $248,088.10 <br />Authorized Signature: Date: <br />Midland Engineering Co., Inc. <br />Authorized Signature: Date:. <br />CITY OF SOUTH BEND <br />