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DATE: <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CHANGE ORDER NO: <br />M <br />U riell I ZEN &W : FA 0 10 <br />3/24/2018 <br />116-066 <br />Fire Station #4 <br />12/22/2016 <br />3 <br />PCR #210-Pocket Door Hardware PCR #21 -Low Voltage Cabling <br />PCR #22-Metronet Conduit PCR #24-Locution Install <br />The original contract sum <br />Net change by previously authorized change orders <br />The contract sum prior to this change order <br />By this Change Order, the project amount is <br />The new contract sum including this change order <br />This Change Order represents a total change of <br />Total change for entire project <br />Original contracted completion date/time <br />Extension of date/time by previous change orders <br />Date/time extension by this change order <br />New completion date/time <br />li <br />11 011111;uft <br />Contractor Signature <br />NMI N'To's oval-INET <br />Gibson -Lewis, LLC <br />Company Name <br />1001 West 11 th Street <br />Address <br />Mishawaka, IN 46544 <br />City, State, Zip <br />$ 40,065.00 <br />$ 3,351,106Z00 <br />1.21 <br />6/22/2018 <br />I days <br />30 days <br />9/1/2018 <br />RECQM MENQQ FOR AEPROVAL <br />44 <br />CON'ST ON MANAGER <br />BOARD OF PUBLIC ORKS <br />Approved Dlate� <br />Gary A, Ght, President <br />Suzanna M. Fritzberg, Member <br />jr[., U11- - <br />Elizabeth A. Maradik, Member <br />Therese J. Dora ulM emI56'r <br />James A. Mueller, Member <br />