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CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: <br />PROJECT NO:121-029 <br />PROJECT NAME:MPAC Main Level Slab Replacement <br />CONTRACT DATE:1/11/2022 <br />CHANGE ORDER NO:1 <br />SUBJECT OF CHANGE ORDER:PCR #1-Misc. costs & credits for changes to scope <br />The original contract sum $ 876,374.83 <br />Net change by previously authorized change orders $0.00 <br />The contract sum prior to this change order $ 876,374.83 <br />By this Change Order, the project amount is Increased <br />1,319.00X Decreased $ <br />The new contract sum including this change order $ 875,055.83 <br />This Change Order represents a total change of -0.15 % <br />Total change for entire project -0.15 % <br />Original contracted completion date/time 9/23/2022 <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 9/23/2022 <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 />Larson Danielson Construction Co., Inc. <br />Company Name <br />President <br />302 Tyler St <br />Address <br />Member <br />LaPorte, IN 46350 <br />City, State, Zip <br />Member <br />Member <br />Member <br />Darin Meyer, Project Manager <br />6/28/22 <br />July 26, 2022