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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 />116-001 DIV B <br />116-001 South Bend One-way to Two-way Conversion <br />2/26/2016 <br />PCR #4-Joint Sealent See Change order 5, Marion Street Storm <br />Sewer Revisions see Change Order 11, Bartlett Street Storm <br />Sewer Revisions see Change Order 15, Construction Engineering <br />Additional see Chanoe Order 19 <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 />C ra for igna ure <br />4. <br />Printed Name and Title <br />Rieth-Riley Construction CO., INC. <br />Company Name <br />25200 State Road 23 <br />Address <br />South Bend, Indiana, 46614 <br />City, State, Zip <br />x] Increased <br />❑ Decreased <br />6/1 /2017 <br />$ 16,131,908.36 <br />$ 67,338.09 <br />$ 16,199,246.45 <br />87,119.70 <br />16,286,366.15 <br />0.54 % <br />0.96 % <br />0 days <br />6/1 /2017 <br />RECOMMENDED FOR APPROVAL <br />- -\/B <br />CONSTCYCTION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORT <br />Approved <br />o 7 /,) of � <br />David <br />� P. <br />�R_elos,, M�e�m(ber <br />Elizabeth A Maradik, Member <br />Therese J. Dorau, Member <br />James A. Mueller, Member <br />