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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CHANGE ORDER NO. <br />SUBJECT OF CHANGE ORDER: <br />July 14, 2023 <br />122-018 <br />Northwest Elevated Tank Rehabilitation Project <br />August 9, 2022 <br />2 <br />Deduct for the amount to close out the project and complete <br />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 />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 />❑ Increased <br />® Decreased <br />$ 1,228,400.00 <br />$ 7,745.00 <br />$ 1,220,655.00 <br />$ 35,500.00 <br />$ 1,185,155.00 <br />2.89 % <br />3.52 % <br />December 24, 2022 <br />97 days <br />March 31, 2023 <br />RECOMMENDED FOR APPROVAL <br />t j"- ' ff- V <br />PROJECT MANAG R <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />Jordan V. Gathers, Member <br />4 <br />Attest: Theresa M. Heffner, Clerk <br />Date: July 25, 2023 <br />