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DATE: <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />February 6, 2022 <br />122-018 <br />Northwest Elevated Tank Rehabilitation Project <br />August9,2022 <br />1CHANGE ORDER NO. <br />SUBJECT OF CHANGE ORDER: Deduct for the amount to rekey and master key locks in the City <br />water facilities required to maintain security after the <br />misplacement of the main key to the elevated tank. Time <br />extension to spring for weather-dependent punch list items. <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 <br />Extension of date/time by previous change orders <br />Date/time extension by this change order <br />New completion date/time <br />CONTRACTOR <br />�ffe Contractor Signature <br />Luan Ha, Project Manager <br />Printed Name and Title <br />Viking Industrial Painting <br />Company name <br />10905 Harrison Street <br />Address <br />La Vista, NE 68128 <br />City, State, Zip <br />$ 1,2282400.00 <br />$ 0 <br />$ 1,2282400.00 0 Increased <br />� Decreased $ 7,745.00 <br />$ 1,220,655.00 <br />0.63 <br />0.63 <br />December 24, 2022 <br />0 <br />97 days <br />March 31, 2023 <br />RECOMMENDED FOR APPROVAL rflL;;/i� £ <br />Elizabeth A. Maradik, President <br />Joseph R. Molnar, Vice President <br />Jordan V. Gathers, Member <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />% <br />% <br />February 28, 2023