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Change Order No. 10 <br />South Bend One -Way to Two -Way Conversion <br />Division A <br />Project No. 116-001 <br />OWNER: City of South Bend <br />ENGINEER: American Structurepoint, Inc. <br />Patrick K. Wooden, P.E. <br />Professional Engineer No. 10504741 <br />CONTRACTOR: Rieth-Riley Construction <br />PROJECT: South Bend One -Way to Two -Way Conversion, Division A <br />Project No. 116-001 (114-045) <br />SUBJECT: Palmer Funeral Home Revisions <br />ISSUE DATE: June 10, 2016 <br />This Change Order to the Contract document shall supplement, amend, and shall become a <br />part of, and be incorporated as an Addendum to the Contract. <br />The following is a summary and description of the revisions to the Contract by this Change <br />Order: <br />1. Revision 4 — Sidewalk and drive revisions as negotiated with Palmer Funeral <br />Homes during land acquisition. <br />The following sections of the Contract Documents are revised as a result of the above changes: <br />BIDDING AND CONTRACT REQUIREMENTS: <br />1. Bid/Proposal Form: <br />Contract 114-045: <br />Add 32 SYS to Line Item 11: PAVEMENT REMOVAL, 32 SYS @ $10.00/SYS for a <br />total addition of $320.00 <br />Subtract 71 LFT from Line Item 23: TEMPORARY SILT FENCE, -71 LFT @ $1.50/LFT <br />for a total deduction of (-$106.50) <br />Add 59 SYS to Line Item 26: SUBGRADE TREATMENT, TYPE Il, 59 SYS @ <br />$15.95/SYS for a total addition of $941.05 <br />Add 21 SYS to Line Item 53: SIDEWALK, CONCRETE, 4", 21 SYS @ $39.00/SYS for <br />a total addition of $819.00 <br />Add 32 SYS to Line Item 63: PCCP FOR APPROACHES, 9 IN, 32 SYS @ $52.00/SYS <br />for a total addition of $1,664.00 <br />Add 1 EACH to Line Item 111: INLET, R13, 1 EACH @ $2,140.00/EACH for a total <br />addition of $2,140.00. <br />Subtract 1 EACH to Line Item 116: INLET, C15, -1 EACH @ $2,660.00/EACH for a <br />total deduction of (-$2,660.00) <br />Sheet 1 of 3 <br />