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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 />122-059R <br />Angela Blvd. Roadway Improvements <br />11/28/2023 <br />1 <br />PCR #1-Add Solar Flashing Ped Sign w/ Foundation PCR <br />#2-Replace Fencing PCR #3-Add UND Concrete Coloring <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 />Contractor ignature <br />#I e / �i ng ef, <br />Printed Name and Title <br />Milestone Contractors North, Inc. <br />Company Name <br />24358 State Road 23 <br />Address <br />South Bend, IN 46614 <br />City, State, Zip <br />Q Increased <br />Decreased <br />7/19/2024 <br />0 days <br />0 days <br />7/19/2024 <br />$ 3,241,000.00 <br />$ 0.00 <br />$ 3,241,000.00 <br />$ 129,623.45 <br />$ 3,370,623.45 <br />4.00 % <br />4.00 % <br />RECOMMENDED FOR APPROVAL <br />2-44A�6'1t'- <br />CONtTRUCTION MANAGER <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />jw�a <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />Breana�Miicou, Member <br />Y '% <br />Attest: Theresa M. Heffner, Clerk <br />Date: February 25, 2025 <br />