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CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: 7/7/2020 <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />118-074D (Division A&C) <br />Three Twenty at the Cascade - Site Utilities <br />12/20/2018 <br />CHANGE ORDER NO: 3 (Final) <br />SUBJECT OF CHANGE ORDER: PCR #9-Soil Testing T&M PCR #10-Add CB PCR #11-Remove and <br />Replace Rubble PCR #12-Final Quantities <br />All items completed substantially as planned. <br />See attached Comparison of Estimate for overruns and underruns. <br />The original contract sum $ 168,472.00 <br />Net change by previously authorized change orders $ 20,711.00 <br />The contract sum prior to this change order $ 189,183.00 <br />By this Change Order, the project amount is 0 Increased <br />Decreased $ 6,039.50 <br />The new contract sum including this change order $ 195,222.50 <br />This Change Order represents a total change of 3.19 % <br />Total change for entire project 15.88 % <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 />�NTOR <br />Contractor Sghature <br />Printed Name and Title <br />Indiana Earth, Inc. <br />Company Name <br />10343 McKinley Highway <br />Address <br />6/14/2019 <br />0 days <br />0 days <br />6/14/2019 <br />RECOMMENDED FOR APPROVAL <br />CONSTRUCTION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: July 28, 2020 <br />BOARD OF PUBLIC WORKS <br />Osceola, IN 46561 Gary A.Gilot,President <br />Therese J.Doma,Member <br />City, State, Zip <br />Elizabeth A. Maradik, Member <br />Jordan V. Gathers. Member <br />7Y <br />ATTEST: <br />�'-m z clt nns, <br />Joseph R. Molnar, Member <br />Linda M. Martin. Clerk <br />