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CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CHANGE ORDER NO: <br />SUBJECT OF CHANGE ORDER: <br />12/20/2018 <br />117-072A <br />Lincoinway West and Charles Martin Sr. Dr. Improvements <br />6/26/2018 <br />3 <br />PCR #12-Add Line Item: Strain Pole Rush PCR #13-Add Line Item: <br />Concrete Ribbon PCR #14-Add Line Item: Temporary Striping <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 />CONTRACTOR <br />f <br />Contractor Signature <br />Robert Kuhns, Project Engineer <br />Printed Name and Title <br />Sel a Construction Co., Inc. <br />Company Name <br />2833 S. 11 th Street <br />Address <br />Niles, MI 49120 <br />City, State, Zip <br />Increased <br />Decreased <br />11 /9/2018 <br />2 days <br />0 days <br />11/11/2018 <br />$ 1,131,012.15 <br />$ 54,897.38 <br />$ 1,185, 909.53 <br />$ 9,353.50 <br />$ 1,195,263.03 <br />0.79 % <br />5.68 % <br />091,4001 We <br />I � <br />;L W <br />• - • a <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date--. d["'Do /Y <br />Gary A. 1 ot, President <br />nria W. F"ritzberg, Member <br />Elizabeth A. Maradik, Member <br />There a Do au, er <br />J mea-A.--Mueller, member <br />