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:i "loll 1 :10111 1111[of nor. -I ilk E <br />DATE: <br />8,/14/2018 <br />PROJECT NO: <br />116-073 <br />PROJECT NAME: <br />Charies Black Center Renovations <br />CONTRACT DATE, <br />9/2612017 <br />CHANGE ORDER NO: <br />3 <br />SUBJECT OF CHANGE ORDER: <br />PCR #3-Nlew VCT PCR #4-Fans PCR #5-Future Irrigation Prep <br />PCR #6-Floor Mat PCR #7-Gyrn (Logo IPCR #8-Splash Pad Meter <br />Pit <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/timie <br />Extension of date/time by previous change orders <br />Date/time extension by this change order <br />New completion date/time <br />CONTRACTOR <br />Contractor Signature <br />ldel;t <br />Printed Name, and T Ffle <br />Gibson -Lewis LLC <br />Company Name <br />1001 West 11 th Street <br />Address <br />Mishawaka, IN 46544 <br />City, State, Zip <br />$ 3,796,000.00 <br />$ 90,246.00 <br />$ 3,886,246.00 <br />0 Increased <br />F-] Decreased $ 35,391.00 <br />$ 3,921,637.00 <br />0.91 % <br />3.31 % <br />8/24/2018 <br />0 days <br />7 days <br />8/31/2018 <br />RECOMMENDED FOR APPROVAL <br />CONS'TRON MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC,7.ORKS <br />Approved Date: ' IV /s' <br />4--- <br />ZA�11 <br />Gary i ot, resident <br />A46&'/ <br />,11A, L <br />u,,nna M. Fri berg, IMerAber <br />VdL L I J <br />rfiketh A. Miradik, Member <br />Therese J. Dorau, Member <br />James A. Mueller, Member <br />