Change Order No. 15 - WWTP Secondary Improvements Project No. 114-053 - Thieneman Construction, Inc.

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CITY OF SOUTH BEND, INDIANA W WTP SECONDARY TREATMENT IMPROVEMENTS CITY PROJECT NO. 114-053 CHANGE ORDER PROPOSAL Change Order Proposal No., 1 14-053-088 Date: 8/22/17. Submitted in Response to Proposal Request No.: Contract Name and No.: 114-053 South Bend W W'1'1' Secondary I reatment Improvements Contractor: Thieneman Construction, Inc. Subject: Disconnect electrical, pull wells, untangle float switches, check float switches, re -install wells, and re -connect electrical to dewatering wells 2, 4, and 5. The following changes to the Contract are proposed: SCOPE OF WORK: (attach and list supporting information as required) 1. Item: TCl — See attached cost breakdown - $286.00 2. Item: Kelley & Sweney — See attached cost breakdown - $3,863.00 !RI&1 .Il I W.L14 ; 49_I 00 1. Item: Owner request CHANGES IN CONTRACT PRICE AND CONTRACT TIMES: We propose that the Contract Price and Contract Times be changed as follows: For Contract Price, when requested by Engineer, attach detailed cost breakdowns for Contractor and Subcontractors, Supplier quotations, and other information required. For the Contract Tinges, stale increase, decrease, or no change to Contract Thnes for Substantial Completion, readiness for final payment, and Milestones, ifany. If increase or decrease, state specific number ofdays for changes to the Contract Times. Description Amount Contract Times days Substantial Final 1. item — Direct Costs $4,150 0 0 2. Item — Markups: 5% Subs / 15% TCI S236 0 0 Total This Change Order Proposal $4, 386 0 0 Changes to Milestones if any: NIA The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it is entitled as a result of the proposed chat ge. Change Order Proposal By: Crai 7 Se Signature of Proposer: