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CITY OF SOUTH BEND, INDIANA <br />WWTP SECONDARY TREATMENT IMPROVEMENTS <br />CITY PROJECT NO. 114-053 <br />CHANGE ORDER PROPOSAL <br />Change Order Proposal No.: 1 1q-053-0GG,2 Date: 8/7/17 <br />Submitted in Response to Proposal Request No.: <br />Contract Name and No.: 114-053 South Bend WWTP Secondar .._Treatment Iinprove mctits <br />Contractor: Thieneman Construction Inc. <br />Subject: Provide cover plate, Inc-lt��ling-stat�i}eddiwi�rgs, at .function Box E. Revision #1 <br />included additional shipping costs (previously neglected, but needed as the remainder of the East <br />side metals remain on hold pending Owner's decision on K P's #2 & #3), and the upgrade to 5/8" <br />thick aluminum checkered plate on 3/20/17. Revision 2 eliminated the requirement for stamped <br />drawings, cover plate to be provided as designed by Arcadis, costs aligned to Arcadis's email dated <br />5/8/17. <br />The following changes to the Contract are proposed: <br />SCOPE OF WORK: (attach and list supporting information as required) <br />1. Item: TCl —See attached cost breakdown - $3,031.00 <br />JUSTIFICATION: <br />1. Item: Owner request <br />CHANGES IN CONTRACT PRICE AND CONTRACT TIMES: <br />We propose that the Contract Price and Contract Times be changed as follows: <br />For Contract Price, when requested by Engineer, attach detailed cast breakdowns for Contractor and <br />Subcontractors, Supplier quotations, and other information required <br />For the Contract Times, state increase, decrease, or no change to Contract Times for Substantial Completion, <br />readiness for final payment, and A4ilestones, ifany. If increase or decrease, state specific number ofdays for changes <br />to the Contract Times. <br />Description <br />Amount <br />Contract Tinter (days) <br />Substantial <br />Final <br />1. Item -- TCI & Badger Costs <br />$3,031 <br />0 <br />0 <br />2. Item — TCI — Marku : 5% Subs / 15% TCI <br />$455 <br />0 <br />0 <br />Total This Change Order Proposal <br />$'3, 486 <br />0 <br />0 <br />Changes to Milestones if any: N/A <br />The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it <br />is entitled as a result of the proposed change. <br />Change Order Proposal By: C:rai Steele <br />Signature of Proposer: <br />