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CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE:3/20/2020 <br />PROJECT NO:119-018 <br />PROJECT NAME:St. Joseph River Backwater Valves <br />CONTRACT DATE:12/19/2019 <br />CHANGE ORDER NO:1 <br />SUBJECT OF CHANGE ORDER:PCR #1-Series TF-1 Check Valves with 304 SS Thimble Plate <br />(+$10,813.00). PCR #2-MOT Reduction (-$200.00). <br />The original contract sum $ 94,450.00 <br />Net change by previously authorized change orders $0.00 <br />The contract sum prior to this change order $ 94,450.00 <br />By this Change Order, the project amount is X Increased <br />10,613.00Decreased $ <br />The new contract sum including this change order $ 105,063.00 <br />This Change Order represents a total change of 11.24 % <br />Total change for entire project 11.24 % <br />Original contracted completion date/time 7/1/2020 <br />Extension of date/time by previous change orders 0 days <br />Date/time extension by this change order 0 days <br />New completion date/time 7/1/2020 <br />CONTRACTOR RECOMMENDED FOR APPROVAL <br />Contractor Signature CONSTRUCTION MANAGER <br />CITY OF SOUTH BEND <br />Printed Name and Title BOARD OF PUBLIC WORKS <br />Approved Date: <br />Selge Construction Co., Inc. <br />Company Name <br />Gary A. Gilot, President <br />2833 S. 11th Street <br />Address <br />Jordan Gathers, Member <br />Niles, MI 49120 <br />City, State, Zip <br />Elizabeth A. Maradik, Member <br />Therese J. Dorau, Member <br />Joseph Molnar, Member <br />Justin Butler, Dir of Business Operations <br />November 24, 2020