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CITY OF SOUTH BEND <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 /22/2019 <br />....... <br />Cleveland Well Refurbishments Well Cleanin <br />1..�......w........................................ _....�.�...... <br />Decrease in final project amount due to allowance cap not met <br />_of Estimate for overruns and underruns. <br />See attached Comparison _.-..._...... _ ...w_ ...... ....w <br />The original contract sum $ 49,000.00 <br />Net change by previously authorized change orders $ 0.00 <br />p g .......�...... <br />The contract sum prior to this change order $ 49,000.00 <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 />CONTRACTOR <br />.. ...... <br />Contractor Signature <br />Frank Williams <br />Printed Name and Title <br />Peerless Midwest, Inc. <br />Company name��� <br />55860 Russell Industrial Parkway <br />Address--..._ . <br />Mishawaka IN 46545 <br />City, State, Zip <br />❑ Increased 402.00 <br />® Decreased $ <br />$ 48,598.00 <br />0.8 % <br />90 calendar <br />90 calendar <br />RECOMMENDED FOR APPROVAL <br />CONS" l' Chi MANAGER <br />C°I"I�"tSOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: �v( $ <br />"ary A. Gilot, P�resideni........ ...�... <br />Genevi eve E. Mille aN Member <br />l� Mar���lil�...� ..._�_.� <br />Elizabeth <br />t , Mcmbe <br />Therese . DAuM ber <br />.�rra O'Sullivan, Member <br />