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DATE: <br />CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER <br />6/22/2021 <br />PROJECT NO: PROJ00000246 <br />PROJECT NAME: MLK 2021 Exterior Improvements <br />CONTRACT DATE: April 27th, 2021 <br />CHANGE ORDER NO: C0#1 <br />SUBJECT OF CHANGE ORDER: Addition of pedestrian light pole and lead time adjustement <br />The original contract sum <br />Net change by previously authorized change orders <br />The contract sum prior to this change order <br />By this Change Order, the project amount is <br />The new contract sum including this change order <br />This Change Order represents a total change of <br />Total change for entire project <br />Original contracted completion date/time Extension of date/time by previous change orders Date/time extension by this change order New completion date/time <br />CONTRACTOR r/l(:((i2t!f'ir <br />Jenr.tfec �¾/dell 1 :Pce.skht Printed Name and itle <br />�o..r-\-e\l E\ed:ric, LLG <br />Company Name ' <br />4�o\ weve\ ood Rd <br />Address <br />SD0+v-i. �°' lN %(o 22:> <br />City, State, Zip <br />$ ___ 3 ...... 0,_4s_o_.o_o <br />$ _____ o_.o_o <br />[K)lncreased □Decreased <br />$ ___ 3_0-'--,4_5_0._0_0 <br />$ 3,940.00 ----'----$ 34,390.00 ----�-- <br />J� 16th, 2021N <br />44 da�sgus 31st, 2021 <br />12.90 % <br />12.90 % <br />RECOMMENDED FOR AP PROVAL <br />PROJECT MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS Approved Date: ------- <br />Elizabeth A. Maradik, President <br />Jordan V. Gathers, Member <br />Joseph R. Molnar, Member <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Au <br />June 22, 2021