Change Order No 4 - VPA Maintenance Storage Building Project No 118-046R - The Robert Henry Corporation

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Ak 1A ,.m. Document TM —2017 Change Order PROJECT: (Name and address) CONTRACT INFORMATION: CHANGE ORDER INFORMATION: Venues, Parks and Arts Maintenance Contract For: Owner and Contractor Change Order Number: 04 Storage Building 1020 High Street Date: September 11, 2018 Date: January 14, 2019 South Bend, IN 46601 OWNER: (Name and address) ARCHITECT: (Name and address) CONTRACTOR: (Name and address) South Bend Board of Public Works Gregory A Kil & Associates, Inc. (d/b/a) Robert Henry Corporation Kil Architecture/Planning 227 West Jefferson Blvd 1126 Lincolnway East 404 South Frances St. South Bend, IN 46601 South Bend, IN 46601 South Bend, IN 46624 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.) Add $1,490.00 to remove the existing Site Light Pole which is locataed on the northedge of the asphalt pavement of the Parking Lot and south of the 16' wide overhead door of the New Storage Building and deliver to VPA for future use. Remove the concrete base while Ritschard's equipment is on -site; install heavy-duty, in -ground, 22,500 lb capacity drive -over electriacl junction box, re -connect the existing circuiting which runs through the existing light pole, and backfill with onsite material as per The Robert Henry Corporation's letter VPA Maintenance Storage Building - Proposal to Remove Existing Light Pole dated Devember 19, 2018. The original Contract Sum was $ 330,174.00 The net change by previously authorized Change Orders $ 57,716.00 The Contract Sum prior to this Change Order was 387,890.00 The Contract Sum will be increased by this Change Order in the amount of $ 1,490.00 The new Contract Sum including this Change Order will be $ 389,380.00 The Contract Time will be unchanged by Zero (0) days. The new date of Substantial Completion will be 3/25/19 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. Grggory,yk Ki & :°`oOate-s, Inc CHI rr 1,arr e)_ Sl (S!_N0ry k1 KAU, AIA Architect PRINTED NAME AND TITLE DATE PRINTED NAME AND TITLE DATE City of Soulb Bend Venues Parks & Arts OWNER (Mr on Otani q�� y �.� i� ,/' SIGNATURE fm AIA Document G701 TM — 2017. Copyright © 1979, 1987, 2000 , 2001 and 2017 by The American Institute of Architects. All rights reserved. WARINIIIIINtG : ['11his p Act'ion cs° disfn°Gltuontioiiw ¢)f tltnlins AUA Ilru)azunma:nt,„ oii, alr�A; uu�tllTun� awtrit uY GwirasP:cQ is nl Ilwy U„f 'r C�astutru°iatll�t II raw p�ir��f IlirniYr^u°ureatuanicia�ll "If'irc atue ^a. U.VTg soM611mapu^i:woaf meis°araio n µ M ^ , y B may msu in severe a ivill and ciditninall poi naftil s, and will Ihm Iproirosecunted to the nnaxhn unni extent. Ip�ossullspn, uw'ndei the Ilaw. This document was produced by AIA software at 08:34:00 ET on 01/15/2019 under Order No, 0643183578 which expires on 01/15/2020, and is not for resale User Notes: (3139ADA50)