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CITY OF SOUTH BEND, INDIANA <br />W WTP SECONDARY TREATMENT IMPROVEMENTS <br />CITY PROJECT NO. 114-053 <br />CHANCE ORDER PROPOSAL <br />Change Order Proposal No.: 114-053-080 Date: 6/15/17 <br />Submitted in Response to Proposal Request No.: <br />Contract Name and No.: 114-053 South Bend WWTP Secondary Treatmejtt Improvements <br />Contractor: Thienernan Construction lnc. <br />Subject: Clean sludge from RAS channel for phase G1 as requested by Owner. <br />The following changes to the Contract are proposed: <br />SCOPE OF WORK: (attach and list supporting information as required) <br />1. Item: TCI — See attached cost breakdown - $3,853 <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 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 Substantial Completion, <br />readiness for final payment, and Milest ones, if any. If increase or decrease, state specific number of dgys for changes <br />to the Contract Times. <br />Description <br />Amount <br />Contract Times da s <br />Substantial <br />Final <br />1, Item —TCI _ <br />$3,853 <br />0 <br />0 <br />2. Item — TO — Markup: 5% Subs / 15% TCI <br />$419 <br />0 <br />0 <br />Total This Chan e Order Pro osal <br />$4.272 <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: Craig Stec <br />Signature of Proposer: <br />