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CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE:April 25, 2023 <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CHANGE ORDER NO: <br />SUBJECT OF CHANGE ORDER: <br />The original contract sum $ <br />Net change by previously authorized change orders $0.00 <br />The contract sum prior to this change order $1,785,000.00 <br />By this Change Order, the project amount is Increased <br />(470.00)Decreased $ <br />The new contract sum including this change order $1,784,530.00 <br />This Change Order represents a total change of 0.026 % <br />Total change for entire project % <br />Original contracted completion date/time <br />Extension of date/time by previous change orders 0 days <br />Date/time extension by this change order 478 days <br />New completion date/time March 23, 2023 <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 />Company Name <br />Elizabeth A. Maradik, President <br />Address <br />Jordan V. Gathers, Member <br />City, State, Zip <br />Joseph R. Molnar, Member <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Pinhook WTP Improvements - Guaranteed Energy Savings Contract <br />119-003 <br />February 9, 2021 <br />1 - Final <br />Final Change Order - Quantity Adjustment <br />1,785,000.00 <br />X <br />0.026 <br />November 30, 2021 <br />September 12, 2023