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<br />8AIA Document TM -2017
<br />Change Order
<br />PROJECT: (Name and address) CONTRACT INFORMATION: CHANGE ORDER INFORMATION:
<br />17043 - Erskine Clubhouse Renovation Contract For: General Construction Change Order Number: 09
<br />City Project #236563 Date: 8/28/2018 Date: 03/01/2019
<br />OWNER: (Name and address) ARCHITECT: (Name and address) CONTRACTOR: (Name and address)
<br />Board of Public Works Gregory A. Kil & Associates, Inc. Ziolkowski Construction Co., Inc.
<br />City of South Bend, IN
<br />1316 County City Building (d/b/a) Kil Architecture / Planning 4050 Ralph Jones Drive
<br />227 W Jefferson Boulevard 1126 Lincolnway East South Bend, IN 46628
<br />South Bend, IN 466011830 South Bend, IN 46601
<br />THE CONTRACT IS CHANGED AS FOLLOWS:
<br />(Insert a detailed description of the change and, if applicable, attach or reference specific exhibits. Also include agreed upon adjustments
<br />attributable to executed Construction Change Directives.)
<br />Per the attached RCO #026 Rev.1, add $7,413.00 to provide labor, material and equipment to remove service sink in closet GI 1 and install
<br />new base mounted mop sink. Also install a floor sink near the proposed sink in the old boiler room areas.
<br />Per the attached RCO #030, add $22,098.00 to provide labor, material and equpment to enlarge restooms per Alt #1.
<br />Per the attached RCO # 031, add $23,314.00 to provide labor, material and equipment to construct new kitchen in lower lever per Alt #2.
<br />Per the attached RCO #032, add $848.00 to provide labor, material and equipment to add three (3) additional door grilles per RFI #035.
<br />Per the attached RCO #033, add $3,067.00 to provide labor, material and equipment to rework the existing kitchen feeder.
<br />Per the attached RCO # 035, add $2,265.00 to provide labor, material and equipment to repair 78 sf of ceiling on the main level.
<br />Per the attached RCO 4037, add $3,175.00 to provide labor, material and equipment to fur new Storage Room G-09.
<br />Per the attached RCO #038, add $672.00 to provide labor, material and equipment to fur out +/-10' of wall next to Storage Room G-09
<br />The original Contract Sum was 907,000.00
<br />The net change by previously authorized Change Orders $ 106,990.00
<br />The Contract Sum prior to this Change Order was1,013,990.00
<br />The Contract Sum will be increased b this Chang e Order in the amount of
<br />The new Contract Sum including this Change Order will be $ 1,076.842. 0
<br />The Contract Time will be increased by Zero (0) days.
<br />The new date of Substantial Completion will be March 22, 2019
<br />NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract
<br />Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the
<br />Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive.
<br />NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER.
<br />Gregory A. Kil & Associates, Inc. Ziolkowski Construction, Inc Board of Public Works, City of South
<br />Bend, IN 1u r.t
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<br />ARCHITECT (Firm name) CONTRACTOR (Firm name) OWNER (j jqmf�f pt161i(' o
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<br />document was produced by MA software at 15.03.35 ET on 03)01/2019 under Order No, 81/9973501 which expires on 02129=20and is not for resa e.
<br />User Notes: (3B9AeA4 )
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