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CITY OF SOUTH BEND, INDIANA <br />CITY PROJECT NO. 114-053 <br />CHANGE ORDER PROPOSAL <br />Change Order Proposal No.: 114-053-112 Date: 2/1/18 <br />Submitted in Response to Proposal Request No.: <br />Contract Name and No.: 114-053 South Bend WWTP Secondary Treatment Ins yovenlents <br />Contractor: Thiencinan Constructionhic. <br />Subject: Reimbursement to the City for their expenses associated with our spill caused by Rotork. <br />Reference the City's email dated 2/1/18. <br />The following changes to the Contract are proposed: <br />SCOPE OF WORK: (attach and list supporting information as required) <br />1. Rem: TC1 — See attached cost breakdown - $0.00 <br />2. Item: Rotork—($5,650.00) <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 finalpayinent, andMilestones, ifany. Ifinerease or decrease, state specific number ofdays for changes <br />to the Contract Times. <br />Contract Timesdy <br />Descrii ton Amount Substantial Final <br />1. Item — Direct Costs ($5,6 5.)0 <br />2. Item — hMjar�k� Subs / 15% TO 'gyp 0 0 <br />To "—taIT—his Chan Order—59 Pro qsal.___ 60 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, rai Stec <br />Signature of Proposer: 7 <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, rai Stec <br />Signature of Proposer: 7 <br />