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DATE: <br />CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />12/12/2023 <br />PROJECT NO: 122-044 <br />PROJECT NAME: 2022 Curb and Sidewalk Round 2 <br />CONTRACT DATE: 12/13/2022 <br />CHANGE ORDER NO: 1 <br />SUBJECT OF CHANGE ORDER: Balancing CO for closeout; added days for tree planting in fall <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 />To tal 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 />Contractor Signature <br />Printed Name and Title <br />Company Name <br />Address <br />City, State, Zip <br />01ncreased â–¡Decreased <br />6/16/2023 <br />0 days <br />164 days <br />11 /27/2023 <br />$ 568,005.00 -----'----$ 0.00 <br />$ ---56-8-,0-0 -5.-00- <br />$ 5,016.68 ------$ 573,021.68 -----'-----0.88 % <br />0.88 % <br />RECOMMENDED FOR APPROVAL <br />TRUCTION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: ------ <br />President <br />Member <br />Member <br />March 26, 2024