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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 />9/30/2016 <br />East Bank Sewer Separation - Phase 5 (Division B) <br />1 /26/2016 <br />4 <br />PCR #9-Tree Removal PCR #10-Soil Delay <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 />contracted <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 tractor Signature <br />J�t.s� n � n n ,° 1 S ��oery,✓ �e�✓dc.✓� <br />Printed Name and I itle <br />Walsh Kelly Inc. <br />Company Name <br />24358 State Road <br />Address <br />South Bend, IN 46614 <br />City, State, Zip <br />Increased <br />Decreased <br />$ 25,900.00 <br />(TIF: + $0.00) <br />(Sewer Bond: + $25,900.00) <br />$ 5,304,900.66 <br />0.49 % <br />RECOMMENDED FOR APPROVAL <br />CON CTION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: —/a / l,, <br />President <br />beth A. <br />Therese J. Dorau, Member <br />Jam A. Mueller, Member <br />4.41 % <br />