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DATE:PROJECT NO:PROJECT NAME:CONTRACT DATE:CHANGE ORDER NO: <br />C ITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />11/26/2024 124-025Thermoplastic Striping9/24/2024 1 (Final) SUBJECT OF CHANGE ORDER:PCR #1-Errors and Omissions -Line Length Adjustments PCR <br />#2-Design change -Arrow Removal PCR #3-Errors and <br />Omissions -Additional Arrows <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 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 />[xllncreased <br />Ooecreased <br />11/18/2024 <br />O days <br />O days <br />11/18/2024 <br />$ ___ 1_2,,__3_90_._oo_ $ _____ o-=-·-=-oo-=- <br />$ ___ 1_2,,_3_90_._oo_ <br />$ 4,314.00 ------'---$ 16,704.00 ------'---34.82 % <br />34.82 % <br />C CONTRAC�k0-: RECOMMENDED FOR APPROVAL <br />� <br />CE Hughes Milling, Inc., OBA The Air <br />Marking Co. <br />Company Name <br />1544 N SR 25 <br />Address <br />Rochester, IN 46975 <br />City, State, Zip <br />CONSTRUCTION MANAGER <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Member <br />Member <br />Joseph R. Molnar, Vice President <br />Briana Micou, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: ---------December 17, 2024