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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 />The original contract sum <br />11 /21 /2019 <br />118-010A <br />Historic Leeper Park Improvements <br />4/23/2019 <br />PCR #4-Water meter 8, Handrail Install <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 />CONTRACTOR <br />Cont for Signatur <br />Printed Name and Title <br />Company Name <br />Address <br />City, State, Zip <br />$ 1,308,129.03 <br />$ 64,685.33 <br />$ 1,372,814.36 <br />FX Increased <br />Decreased $ 12„165.50 <br />$ 1,384,979.86 <br />0.89 % <br />5.87 % <br />11/1/2019 <br />19 days <br />0 days <br />1 °1 /20/20111 <br />Rg!gQMMENDF.Q EOR AEP69VAL <br />U <br />CONSTR N MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WOS <br />Approved Date: w <br />Gary A. 09ot, President <br />Genevi ve E. Miller, Member <br />Elizabeth A. Maradik, Member <br />