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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: 9-5-23 <br />PROJECT NO: 123-002 <br />PROJECT NAME: 2023 <br /> <br />Tree & Stump Removal <br />CONTRACT DATE: 5-23-23 <br />CHANGE ORDER NO. <br />SUBJECT OF CHANGE ORDER: <br />removal <br />Addition of 2 stumps and 2 tree removals, deletion of 1 tree <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 <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 />ontract � re <br />' .::::r-� '\ �,- <br />\(o...R, T ce"L.Se.n.>'·c.L l J_t_ Company name <br />,1 :t:\ S, �r,�\ s\ · <br />Address S>�� �nA,:ai� tfee<o\3 <br />City, State, Zip <br />□Increased□Decreased <br />July 14, 2023 <br />0 <br />45 days <br />$30,508.02 <br />$0 <br />$30,508.02 <br />$2,597.00 <br />$ 33,105.02 <br />8.51 <br />8.51 <br />September 1 5, 2023 <br />RECOMMENDED FOR APPROVAL <br />Construction Manager <br />President <br />Member <br />Member <br />Member <br />Member <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: <br />% <br />% <br />September 12, 2023