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CONSTRUCTION <br />EXCAVATING•SEWERS-WATERMAINS <br />REQUEST FOR CHANGE ORDER <br />DATE: April 13, 2017 <br />RFCO #: 1 (revision #2) <br />TO: City of South Bend <br />Attn: Jacob Klosinski <br />3113 Riverside Drive <br />South Bend, IN 46628 <br />PROJECT: Calvert Street Litt Station OWNER: City of South Bend <br />HRP Project: 1483 <br />RE: Request for compensation for ENGINEER: DLZ <br />permanent power modifications <br />Description of Request: To have Michiana Contracting provide and install a galvanized H-frame per DLZ <br />response to RFi #10. Also included is a stainless steel CT cabinet and two ONE 4" <br />conduits with pull string to connect the meter to AEP's pole. All work is per AEP's <br />requirements. Pole height was confirmed with J&K Communications. <br />Basis of Proposal: The bid documents indicate the Contractor is to install a wood pole,provide & mount a <br />disconnect and meter base only, and provide one 1.25" conduit with pull string to <br />connect the meter to AEP's pole. <br />Description Qtv Unit Unit Price Extension <br />Michiana Contracting proposal with HRP mark-up. 1 LS $8,230.00 $8,230.00 <br />See attached. <br />Total for Change Order $8,230.00 <br />oo— <br />Joe Saggars <br />Lfr( 3— 17 <br />Date <br />HRP Construction Inc. <br />Shipping: 5777 Cleyeland Road South Bend, IN 46628-9418 Phone 574-271-7800 <br />Mailing: P.O. Box 266 South Bend, TN 46624-0266 FAX 574-271-0524 <br />