Change Order No 1 - St. Joseph Backwater Valves Proj No. 119-018 - Selge Construction Co., Inc.

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TO: SELGE CONSTRUCTION CO INC SHIP TO: ENGINEERING 2833 SOUTH 11TH STREET 227 W JEFFERSON BLVD NILES, MI 49120 13TH FLR SOUTH BEND, IN 46601 REQUISITION # 0000224948 NOTICE TO VENDOR 1. If Vendor delivers any merchandise without valid purchase order, no liability exists for City of South Bend 2. City of South Bend reserves right to cancel all or part of this order if delivery is not made when and as specified. 3. Vendor accepts this order at listed price or lowest prevailing market price. No price increase allowed after acceptance. 4. All goods subject to inspection and rejection (freight at vendor’s expense), not withstanding prior payments to secure cash discount.. 5 If subject to cash discount, please indicate on invoice or claim. DELIVER BY DATE 12/19/2019 ACCOUNT NO 25106084314296 VENDOR’S NO 7850 PROJECT NO REQUISITION DATE 12/19/2019 FEDERAL EXCISE TAX EXEMPTION INDIANA SALES TAX EXEMPTION 35-6001201 0003502538-001 ITEM # QUANTITY/UNIT ITEMS and DESCRIPTION Price Total This order issued in compliance with Chapter 99, Acts 1945 and acts amendatory thereof and supplemental thereto. I hereby certify there is an unobligated balance in this appropriation sufficient to pay for this order. Controller or Authorized Representative APPROVED – Central Purchasing Office PO. Number 256607 THE ABOVE ORDER NUMBER MUST APPEAR ON ALL INVOICES, CLAIMS, PACKAGES, DELIVERY SLIPS, AND CORRESPONDENCE CITY OF SOUTH BEND Accounts Payable -12 Floor County/City Building 227 W. Jefferson Blvd. , South Bend, IN 46601 – Fax (574) 235-9928 The City of South Bend is an Equal Opportunity Employer PURCHASE ORDER 256607 1 94,450.00 / EA PROJ#119-018 ST. JOSEPH RIVER BACKWATER VALVES 1.0000 94,450.00 TOTAL PURCHASE AMOUNT $94,450.00