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DATE: <br />PROJECT NO: <br />PROJECT NAME: <br />CONTRACT DATE: <br />CHANGE ORDER NO: <br />CITY OF SOUTH BEND, INDIANA <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />9/17/2019 <br />119-012 <br />2019 Tree & Stump Removal <br />5/14/2019 <br />SUBJECT OF CHANGE ORDER: PCR #1-Adjustment to Final Quantities. <br />All items completed substantially as planned. <br />See attached Comparison of Estimate for overruns and underruns, <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 />C ntracto ig ture <br />e o �,e e —OL,- c.Q r <br />Printed Name and Title <br />K&R Tree Service LLC <br />Company Name <br />1724 S. Grant Street <br />Address <br />South Bend, IN 46613 <br />City, State, Zip <br />$ <br />27,055.00 <br />$ <br />0.00 <br />$ <br />27,055.00 <br />Increased <br />Decreased <br />$ <br />2,312.00 <br />$ .........__. <br />24„743.00 <br />-8.55 % <br />8.55 % <br />6/30/2019 <br />........... <br />0 da..s.._..... <br />0 days. <br />6/30/2019 <br />___ ...... <br />RECOMMENDED <br />PPROV'AL <br />] <br />_ <br />CONST <br />ION MANAGER <br />CITY OF <br />SOUTH BEND <br />BOARD OF PUBLIC W Rt <br />Approved Date: 0 1 sdo ( I <br />.. <br />Gary A. Gilot, President <br />Genevi ve E. Miller, Member <br />w <br />Elizabeth A. Maradik, Member <br />