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r' car-dno Scope Change Order Form <br /> Project Name: City of South Bend — Fellows Street <br /> Project Number/ Phase: 0811208.00 / 81 <br /> Date: 2/27/14 Change Order Number(1, 2, 3, etc.): 2 <br /> Prepared By: Christine Dittmar Project Manager: Christine Dittmar <br /> — <br /> Change Requested (describe in detail): Client requested additional work which was <br /> outside original scope of work, regarding 100% construction bid plan submittal from November, <br /> 2013. <br /> TASK 1: ITEMS BEYOND THE ORIGINAL SCOPE OF BUDGET FOR 100% SUBMITTAL <br /> This task covers our effort above and beyond the previous budget to bring the construction bid <br /> plan set to 100% submittal again. <br /> a. Revision to header detail <br /> b. Addition of curb/gutter detail <br /> c. ADA ramp detail <br /> d. Special provisions modifications as needed <br /> e. Project Management <br /> f. QAQC and review by Senior Engineering staff for the 100% submittal <br /> Cardno JFNew's Standard Hourly Rates, Plus Expenses <br /> Not to Exceed: $2,592.00 <br /> Resulting Change(s) to Project Schedule: None <br /> Resulting Budget Change (adjusted fee for change): Not to Exceed: $2,592.00 <br /> Change Requested By: Christine Dittmar <br /> Change Approved By: <br /> Signature Printed Name/Title <br /> Company Authorization Date <br /> Op- ations Manager <br /> C-/.no JFNew <br /> Revised:225;13 <br /> Last sired by <br />