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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.: 1114-053-078.1 Date: 8I7117 <br />Submitted in Response to Proposal Request No.: <br />Contract Name and No.: 114-053 South Bend WWII' Secondary Treatment Improvements <br />Contractor: Thieneman Construction,.Inc. <br />Subject: Remove existing "sloped" fillets in the Aeration Effluent, Final Clarifier, and old RAS <br />channels at 3 stop log locations. Revised per Arcadis's comments, added labor clarifications, and <br />split out concrete cutting expenses <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 - $2,970,00 <br />2. Item: ]CC -- See attached cost breakdown - $946.00 <br />JUSTIFICATION: <br />1. Item: Unforeseen condition <br />CHANCES 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 cost 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 Substanlial Completion, <br />readiness for final payment, and Milestones, if any, If increase or decrease, slate specific number ofdays for changes <br />to the Contract Times. <br />Description, <br />Amount <br />Contract Times days <br />Substantial <br />Final <br />1. Item — Direct Costs <br />$3,916.00 <br />0 <br />0 <br />2. Item — Markup: 5% Subs / 15% TCl <br />$493.00 <br />0 <br />0 <br />Total This Change Order Proposal <br />$4, 409.00 <br />0 <br />0 <br />Changes to Milestones if any: NIA <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 p4"vl <br />Change Order Proposal By: <br />Signature of Proposer:_ <br />