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i Al.A Document G70f -2017 <br />Change Order <br />PROJECT: (Name and address) Seitz Park Reconstruction South Bend, Indiana CONTRACT INFORMATION: CHANGE ORDER INFORMATION: <br />OWNER: (Name and address) Board of Public Works City of South Bend, Indiana 227 West Jefferson Boulevard South Bend, IN 46601 THE CONTRACT IS CHANGED AS FOLLOWS: Contract For: General Construction Date: December 17, 2020 ARCHITECT: (Name and address) Smith Group, Inc. Change Order Number: 009 Date: January 4, 2024 CONTRACTOR: (Name and address) Ziolkowski Construction, Inc. 4050 Ralph Jones Drive South Bend, IN 46628 (Insert a detailed description of the cha11ge and, if applicable, attach or reference specific exhibits. Also i11clude agreed upon adjustme11ts <br />attributable to executed Construction Cha11ge Directives.) <br />The Change Order incorporates extra work and design changes in Divisions A, B, C, D, E and F that were issued by <br />SmithGroup in Bulletins 4, 5 and 7RI, and RFI 62, 77 and 87 responses. The extra Costs are described and priced in <br />Ziolkowski Construction's Request for Change Orders 24, 25, 26A, 26B, 29, 30, 31 and 35. Attached is the itemized cost <br />breakdown of each Request for Change Order <br />The total cost is $172,701.00. (New Line Item C-78) The original Contract Sum was The net change by previously authorized Change Orders The Contract Sum prior to this Change Order was The Contract Sum will be increased by this Change Order in the amount of The new Contract Sum including this Change Order will be The Contract Time will be increased by "To Be Determined Calendar" days. The new date of Final Completion will be "To be Determined by Subsequent Change Order" $ <br />$ <br />$ <br />$ <br />$ 7,138,405.35 2,033,481.43 9,171,886.78 172,701.00 9,344,587.78 Ziolkowski Construction, Inc. reserves all rights to extend Contract Final Completion Date and increase Contract Sum to be included in subsequent Change Order approved by Owner and Contractor. NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract <br />Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the <br />Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. <br />NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER. <br />ARCHITECT (Firm name) <br />SIGNATURE <br />PRINTED NAME AND TITLE <br />DATE Ziolkowski Construction, Inc. CONTRACTOR (Firm name) <br />SIGNATURE Tom Smith, Project Manager PRINTED NAME AND TITLE January 4, 2024 DATE <br />AIA Document G701 -2017. Copyright© 1979, 1987, 2000, 2001 and 2017. All rights reserved. "The American Institute of Architects," "American Institute of <br />Architects," "AIA," the AIA Logo, and "AIA Contract Documents" are trademarks of The American Institute of Architects. This document was produced at 08:37:32 1 ET on 01/04/2024 under Order No.4104243604 which expires on 07/04/2024, is not for resale, is licensed for one-time use only, and may only be used in <br />accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. <br />User Notes: (389ADA3C) <br />Board Of Public Works