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DATE: <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CHANGE ORDER NO: <br />CITY OF SOUTH BEND, INDIANA <br />SourHeE� <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />` <br />1b65 <br />10/4/2016 <br />116-029 <br />2016 Curb and Sidewalk Construction <br />SUBJECT OF CHANGE ORDER: Sod for Back Side of Walk ,Removal, Tree 24"-36" <br />The <br />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 />$ 46,872.20 <br />$ 406,622.20 <br />QX Increased <br />Decreased $ 13,104.50 <br />$ 419,726.70 <br />3.22 % <br />16.67 % <br />Original contracted completion date/time 10/13/2016 <br />Extension of date/time by previous change orders 7 days <br />Date/time extension by this change order 0 days <br />New completion date/time 10/20/2016 <br />CONTRACTOR <br />orCtrac or Signature <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 />RECOMMEND D FOR APPROVAL <br />vff <br />CONST TION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: ; / jw , %/ L <br />'L n <br />Gary Q. Gilot, President <br />M. <br />Elizabeth A Maradik, Member <br />Therese J. Do au, ember <br />James A. Mueller, Member <br />