Change Order No 3 - Erskine Clubhouse Renovation Project No 116-108 - Ziolkowski Construction

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SAIA Document G701" - 20,17 Change Order PROJECT: (Name and address) CONTRACT INFORMATION: CHANGE ORDER INFORMATION: 17043 - Erskine Clubhouse Renovation Contract For: General Construction Change Order Number: 03 Date: 8/28/18 Date: 11/9/18 OWNER: (Name and address) ARCHITECT: (Name and address) CONTRACTOR: (Name and address) Board of Public Works Gregory A. Kil & Associates, Inc. Ziolkowski Construction Co., Inc. City Of South Bend, Indiana 1316 County City Building (d/b/a) Kil Architecture / Planning 4050 Ralph Jones Drive 227 W Jefferson Bouldvard 1126 Lincolnway East South Bend, IN 46628 South Bend, IN 46601-1830 South Bend, IN 46601 THE CONTRACT IS CHANGED AS FOLLOWS: (Insert a detailed description of the change and, if applicable, attach or reference specific exhibits. Also include agreed upon adjustments attributable to executed Construction Change Directives.) Per the attached RCO#007 Revised, add $10,471.00 for labor, material and equipment to remove existing gutter System on the south side of clubhouse and install new as shown on attached drawings. The original Contract Sum was $ 907,000.00 The net change by previously authorized Change Orders $ 7,899.00 The Contract Sum prior to this Change Order was $ 914,899.00 The Contract Sum will be increased by this Change Order in the amount of $ 10,471.00 The new Contract Sum including this Change Order will be $ 925,370.00 The Contract Time will be increased by Zero (0) days. The new date of Substantial Completion will be March 22, 2019 NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER Gregory A. Kil & Associates, Inc. A r t name) SIG A — nt`;. r IHNCAR'li , AIA Architect PR TED N ME ND TITLE �— DATE Ziolkowski Construction Co. Board of Public Works, City of South He°nd„ IN "IX�VMIPI CONTRACTOR (Firm name) OWNER (M ) of SIGNATURE SIGNATURE DEC- 1 1 1 1 Mw PRINTED NAME ANDITITLE PRINT DATE DATE q AIA Document G701 TM — 2017. Copyright © 1979, 1987, 2000 , 2001 and 2017 by The American Institute of Architects. All rights reserved. WAll?NtplINQ This a�;aurrnrnnp s f ected by US Ca pyro^rigllht. Law and i nt�ein�naUornll Vrratloa, Unauthorized uspFodiiAcUain or dGstii 1pnuft n of tlhnp�s AIIA" Document, or, IIA�' Iltan � is ou��a�at aunyy poi°ffoun of 01, irnayp iesuufil in seveii,o a.Mll aund r,iu°uindinai! Ipoinaanities, and MH he p hose.¢ uteri to the irnnaxhill irmn extent imssl!!We uuund eu° the iawrv, This document was produced by AIA software at 13:45:57 ET on 11/09/2018 under Order No 4082306517 which expires on 11/09/2019, and is not for resale, User Notes: (3139ADA54)