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CITY OF SOUTH BEND, INDIA ' I <br />WW Tk' 8 7W. # � kJ �� - - 9 W-A- 9 P JNMN J'- Mf T EIV WK r f <br />CITY PROJECT NO. 114-053 <br />CHANGE ORDER PROPOSAL <br />Change Order Proposal No.: 114-053-109 Date: 1/11/18 <br />Submitted in Response to Proposal Request No.: <br />Contract Name and No.: 114-053South Ben(IWWI' PSee0ii(IQ-.y.'I'I,eat.illcllt,,,,Illlp qq) It5 <br />..rg)L _qL <br />Contractor: Th i0lellIall Construct on Inc. <br />Subject. Repair existing grating at Final Clarifier #1 as requested. <br />The following changes to the Contract are proposed: <br />SCOPE OF WORK: (attach and list supporting information as required) <br />1. Item: TC1 — See attached cost breakdown - $875 <br />2. Item: — See attached cost breakdown - $0 <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 Conti -act Times, state increase, decrease, or no change to Contract Times for Substantial Completion, <br />readiness formal payment, and Milestones, ifany, If increase or decrease, state specific number ofdays for changes <br />to the Contract Times. <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 Chang- <br />Change Order Proposal By: Q1Aj&Stccl <br />Signature of Proposer: <br />