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CITY OF SOUTH BEND, INDIANA <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 />CONTRACTOR RECOMMENDED FOR APPROVAL <br />CONSTRUCTION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />1/23/2024 <br />122-013R <br />Lasalle Avenue Streetscape <br />5/9/2023 <br />2 <br />PCR #10-Additinal Construction Engineering & Layout PCR <br />#11-AEP Duct Bank Removal PCR #12-Mountable Curb Island <br />PCR #13-Vault Trash Removal PCR #14-Temporary Striping PCR <br />#15-Add Message Boards PCR #16-Added Temporary Signage <br />PCR #17-Road Closure <br />The original contract sum $ 5,655,360.32 <br />Net change by previously authorized change orders $ 202,153.98 <br />The contract sum prior to this change order $ 5,857,514.30 <br />By this Change Order, the project amount is X Increased <br />97,575.86Decreased $ <br />The new contract sum including this change order $ 5,955,090.16 <br />This Change Order represents a total change of 1.67 % <br />Total change for entire project 5.30 % <br />Original contracted completion date/time 12/1/2023 <br />Extension of date/time by previous change orders 0 days <br />Date/time extension by this change order 0 days <br />New completion date/time 12/1/2023 <br />Contractor Signature <br />Printed Name and Title <br />Approved Date: <br />Milestone Contractors North, Inc. <br />Company Name <br />President <br />24358 State Road 23 <br />Address <br />Member <br />South Bend, IN 46614 <br />City, State, Zip <br />Member <br />Member <br />Member <br />Kevin Cleek Project Manager <br />January 23, 2024