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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 />2/17/2023 <br />122-001 <br />Curb and Sidewalk Round 1 (Div 1 + 2) <br />7/26/2022 <br />1 CHANGE ORDER NO. <br />SUBJECT OF CHANGE ORDER: Project under-runs due to changes in project scope. <br />All items completed substantially as planned. <br />See attached Comparison of Estimate for overruns and underruns. <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 D Increased <br />� Decreased <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 />10/28/2022 <br />n/a <br />21 days <br />11/18/2022 <br />$ 633,484.00 <br />$ 0.00 <br />$ 633,484.00 <br />$ -14,937.62 <br />$ 618,546.38 <br />-2.9 <br />-2.9 <br />RECOMMENDED FOR APPROVAL <br />Contractar' Signature Jrr.£ l&v Sitfk!;,vftebfPrinted Name and Title It, !t1kvt-t/Jf,/hci,f5 A£ ;tCompany name <br />Address &'-� FJ. I� 'ivblf <br />City, State, Zip / ' <br />Elizabeth A. Maradik, President <br />Joseph R. Molnar, Vice President <br />Gary A. Gilot, Member <br />Jordan V. Gathers, Member <br />Murray L. Miller, Member <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: __ <br />% <br />% <br />May 23, 2023