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Change Order Nos 7 -9 - Bendix Dr., Lathrop to Indiana Toll Road Proj No. 114-065 - Rieth-Riley Construction Co., Inc.
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Change Order Nos 7 -9 - Bendix Dr., Lathrop to Indiana Toll Road Proj No. 114-065 - Rieth-Riley Construction Co., Inc.
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2/23/2021 3:41:14 PM
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Board of Public Works
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Projects
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2/23/2021
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City of South Bend <br />Department of Administration & Finance <br />Change Order Request Form <br />Multiple PO lines: <br />PO Number 5628 <br />Line Number 3 <br />Original Dollar Amount $0.00 <br />New Dollar Amount <br />(For liquidation request, enter $0)$6,296.70 <br />Reason Code (if changed)NA <br />Financial Dimensions (fund-dept- <br />division-subdivision-main account)251-06-600-506-442001 <br />Project Code (if applicable)Proj-8 <br />Description of change (include <br />budget impact) <br />Change Order #7: Additional work to complete the bridge tie in on the north end of <br />Bendix <br />PO Number 5628 <br />Line Number 4 <br />Original Dollar Amount $0.00 <br />New Dollar Amount <br />(For liquidation request, enter $0)$10,969.20 <br />Reason Code (if changed)NA <br />Financial Dimensions (fund-dept- <br />division-subdivision-main account)251-06-600-506-442001 <br />Changing the line amount: <br />You can only change a line amount if it has NOT been invoiced against. <br />•If the line has NOT been invoiced – reduce the line amount to equal what it should be. <br />•If the line has been invoiced – cancel the delivery remainder and finalize the individual line, then add a new line for the <br />amount that should be remaining. <br />If you have changes to more than two lines on the same PO, fill out a separate section for each line affected by the change <br />order. <br />2021 02 February 2 PO-5628 INDOT ENG - Change Order Request Form CO# 7 8 and 9 1 of 5
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