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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 />SOUTH\bF <br />F <br />1665, <br />10/11/2016 <br />116-029 <br />2016 Curb and Sidewalk Construction <br />3 - Amended <br />Adjust curb quantities for Mishawaka <br />The original contract sum $ 359,750.00 <br />Net change by previously authorized change orders $ 59,976.70 <br />The contract sum prior to this change order $ 419,726.70 <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 />VCo r4tfa cto ✓8 ig n atu re <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 />LJ Increased <br />QX Decreased $ 19,065.00 <br />$ 400,661.70 <br />-4.54 % <br />11.37 % <br />10/13/2016 <br />7 days <br />0 days <br />10/20/2016 <br />RECOMMENDED FOR APPROVAL <br />CONST U ETION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date:__ //�-v�9ift, <br />Gary A. Gil6f President <br />Fritzberg, <br />Elizabeth A Maradik, Member <br />Therese J. Dor u, Member <br />James A. Mueller, Member <br />