Laserfiche WebLink
CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS - <br />k <br />PROJECT CHANGE ORDER <br />DATE: 7/1 /2023 <br />PROJECT NO: 122-065 <br />PROJECT NAME: Multi -Component Striping <br />CONTRACT DATE: 12/20/2022 <br />CHANGE ORDER NO: 1 (Final) <br />SUBJECT OF CHANGE ORDER: PCR #1-Underrun quantity adjustment <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 />Fear Tk�k <br />BrianTni ka(Jan 18, 202411:34 CST) <br />Contractor Signature <br />Brian Triska, President <br />Printed Name and Title <br />Traffic Control Specialists, LLC DBA High Star Traffic <br />Company Name <br />1810 W. Pacific Ave. <br />Address <br />Knox, IN 46534 <br />City, State, Zip <br />$ 17,838.94 <br />$ 0.00 <br />$ 17,838.94 <br />❑ Increased <br />X❑ Decreased $ 1,258.17 <br />$ 16,580.77 <br />-7.05 % <br />-7.05 % <br />5/17/2023 <br />0 days <br />0 days <br />5/17/2023 <br />RECOMMENDED FOR APPROVAL <br />X ,L-1�Gv- <br />CO TRUCTION MANAGER <br />CITY OF SOUTH BEND <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />4� <br />Elizabeth A. Maradik, President <br />a0,A.A <br />Gary A. Gilot, Member <br />4 XA <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />t�G— <br />Briana Micou, Member <br />(4 <br />Attest: Theresa M. Heffner, Clerk <br />Date: March 12, 2024 <br />