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KIM= <br />PROJECT: (Name and Address) <br />Charles Black Center <br />3419 W, Washington <br />Sout Bond, IN 46619 <br />TO CONTRACTOR: (Name and Address) <br />Gibson Lewis <br />1001 W 111h St <br />Mishawaka, IN 46544 <br />CHANGE ORDER NUMBER: CO2 <br />OWNER <br />F-1 <br />DATE: 1126118 <br />ARCHITECT <br />0 <br />ARCHITECT'S PROJECT NO, 2015-0200 <br />CONTRACTOR <br />0 <br />FIELD <br />El <br />CONTRACT DATE: 26-Sep-17 <br />OTHER <br />El <br />CONTRACT FOR: CBC <br />The Contract is changed as follows: <br />(Include, where aj)plicable, any undisputed ainount attributable to previously executed Constniction Change Directives) <br />Remove gym floor repair, floor protection, and gym noor allowance ($1,000) and Add full new gym floor <br />The original Contract Sum was $ $3,796,000.00 <br />The net Change by previously authorized Change Orders $ $16,520.00 <br />'file Contract Sum prior to this Change Order was $ $32812,520.00 <br />The Contract Sum will he increased _ by this Change Order in <br />the amount of $ $73,726.00 <br />The new Contract Surn including this Change Order will be $ $3,880,246.00 <br />The Contract rime will be unchanged by <enter days in words? ( zero ) days % <br />The date of Substantial Completion as of the date ofthis Change Order therefore is WuZ4,v, I . <br />(Note: This Change Order does not include changes in the Contract Sum, Contract Time or, Guaranteed Alaxintion Price which have been <br />authorized by Constniction Change Directive until the cost and tinre have been agreed upon by both the Owner and Contractor, in which case <br />a Change Order is executed to super,%edethe Construction Change Directive) <br />NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER. <br />Jones Petrie Rafinski <br />Gibson Lewis <br />South Bend Parks and Venues <br />ARCHITECT (Firm name) <br />CONTRACTOR (Firm name) <br />OWNER (Firm name) <br />325 S. Lafayette Blvd, <br />1001 W 1 Ith St <br />321 E Walter St <br />.South Benda IN 466W <br />Mishawaka, IN' 46544 <br />South Cie IN 46614 <br />ADDRESS <br />ADORE5 <br />AM <br />By (STo_na <br />By (Whature) <br />Edward J. KqwqlczyCc� <br />Typed name <br />Typed sane <br />Typed name <br />DATE <br />DATE I <br />DATE <br />"IJAUAD <br />011rArd of Pt&),k, 1worikfi <br />