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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 />i rip onginar contract sum <br />/13/2016 <br />16-029 <br />2016 Curb and Sidewalk Construction <br />Remove sidewalk, Remove concrete curb <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 />' ontrac r 1$ionare <br />Printed Name and Title <br />Premium Concrete <br />Company Name <br />712 Richmond St <br />Address <br />Elkhart, IN 46516 <br />City, State, Zip <br />$ 359 750.00 <br />$ 0.00 <br />$ 359,750.00 <br />X Increased <br />Decreased <br />$ 46,872.20 <br />$ 406,622.20 <br />13.03 % <br />13.03 % <br />10/13/2016 <br />0 days <br />7 days <br />10/20/2016 <br />RECOMMENDED <br />FOR APPROVAL <br />o <br />CONSTR C <br />-ION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: <br />(5ary A. Gilot, President <br />-'-Z:1-.i/' <br />®avid P. Relos, a ber <br />Elizabeth A Maradik, Member <br />Therese J. Dora urBriber <br />James A. Mueller, Member <br />