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Contract No:R -37497 INDIANA Date:07/14/2021 <br />Change Order No:012 Department of Transportation Page: 4 <br />Supplemental Description2: <br />Total Value for Change Order 012 = $ 9,604.74 <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 />This Change Order was requested by the City of South Bend to address complaints from the public. The city requested a redesign of the <br />pavement markings already placed on Bendix southbound at Nimtz Parkway and Bendix northbound at Lathrop. Existing Pavement Markings will <br />removed and replaced in the new configuration as shown on the plan adendum. Existing line Items will be used. Additional Mobilization charges <br />will be added as this change was requested at the Prefinal Inspection. No additional time will be added to the final completion date. <br />Change Order Explanation for Specific Line Item <br />**************************************************************************************************************************** <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 />Contractor:____________________________________________ Signed By:_____________________________________________ <br />Date:__________________________________________________ <br />*************************************************************************************************************************** <br />NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. <br />Rieth Riley Construction Co., Inc. <br />7/16/21