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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 />5/14/2024 <br />122-063 <br />West Race Gate Repair <br />6/13/2023 <br />2 (Final) <br />PCR #2-Replace Portion of Bridge Planks PCR <br />#3-Overruns/Underruns <br />All items completed substantially as planned. <br />See attached Comparison of Estimate for overruns and underruns. <br />The original contract sum $ 632,316.00 <br />Net change by previously authorized change orders $ 31,853.28 <br />The contract sum prior to this change order $ 664,169.28 <br />By this Change Order, the project amount is Increased <br />35,640.00X Decreased $ <br />The new contract sum including this change order $ 628,529.28 <br />This Change Order represents a total change of -5.37 % <br />Total change for entire project -0.60 % <br />Original contracted completion date/time 3/29/2024 <br />Extension of date/time by previous change orders 4 days <br />Date/time extension by this change order 0 days <br />New completion date/time 4/2/2024 <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 />Zachary Dean - Project Manager <br />May 14, 2024