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CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE:6/21/2024 <br />PROJECT NO:112-049 <br />PROJECT NAME:Cleveland Road & Ameritech Drive Intersection Improvements <br />CONTRACT DATE:11/1/2023 <br />CHANGE ORDER NO:1 <br />SUBJECT OF CHANGE ORDER:PCR #1-Tree stump removal PCR #2-Upgrade traffic controller PCR <br />#3-Install Gridsmart Camera System PCR #4-Brick Road <br />Improvements <br />The original contract sum $ 1,281,000.00 <br />Net change by previously authorized change orders $0.00 <br />The contract sum prior to this change order $ 1,281,000.00 <br />By this Change Order, the project amount is X Increased <br />150,781.90Decreased $ <br />The new contract sum including this change order $ 1,431,781.90 <br />This Change Order represents a total change of 11.77 % <br />Total change for entire project 11.77 % <br />Original contracted completion date/time 7/26/2024 <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 7/26/2024 <br />CONTRACTOR RECOMMENDED FOR APPROVAL <br />Contractor Signature CONSTRUCTION MANAGER <br />CITY OF SOUTH BEND <br />Printed Name and Title BOARD OF PUBLIC WORKS <br />Approved Date: <br />Milestone Contractors North, INC. <br />Company Name <br />Elizabeth A. Maradik, President <br />24358 SR 23 <br />Address <br />Breana N. Micou, Member <br />South Bend, IN 46614 <br />City, State, Zip <br />Joseph R. Molnar, Member <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Kevin Cleek Project Manager <br />July 23, 2024