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Contract No:R -39540 INDIANA <br />Change Order No:003 Department of Transportation <br />Contract: R -39540 <br />Project: 1600074 - State:160007400LC4 <br />Change Order Nbr: 003 <br />Change Order Description: Arborvitae Trees by Stormwater Basin <br />Reason Code: SCOPE CHANGES, Added Quantities/Items <br />CLN PCN PLN Item Code Unit Unit Price CO Oty Comment <br />0149 1600074 0149 622-01937 EACH 595.620 10.000 C <br />Item Description: PLANT <br />Supplemental Description-1 - Tree plantings in front of stormwater basin on Corby Blvd. <br />Supplemental Descriptionl: <br />Date:10/15/2020 <br />Page: 3 <br />Amount Change <br />Amount:$ 5,956.20 <br />Total Value for Change Order 003 = $ 5,956.20 <br />Whereas, the Standard Specifications for this contract provides for such work to be performed, the following change is recommended. <br />General or Standard Change Order Explanation <br />The City of South Bend added arborvitae trees along the fence line of the stormwater basin on Corby Blvd. <br />Change Order Explanation for Specific Line Item <br />It is the intent of the parties that this change order is full and complete compensation for the work describe above. <br />Notification and consent to this change order is hereby acknowledged. <br />oIpwry signed by Ja- PI-1 <br />❑- -th-R E=jplunMatl@na�h-Al OU=S <br />Jamie P l u n kett �.+h-R''ujn" "" �. a=5 he� <br />Rieth—Rile Construction Co.CN�eRun <br />Contractor: Y Signed By: Date: 2pgg.,o15M,3:56�400• <br />10/15/2020 <br />NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. <br />