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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 />The original contract sum <br />10/22/2019 <br />119-084 <br />510 S. Main Street Building Improvements <br />9/10/2019 <br />1 <br />PCR #1-Plumbing Repairs PCR #2-Remove and Replace Celotex <br />PCR #3-Replace Trim and Sheathing PCR #4-Add Door Window <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 Signature <br />Printed Name and Title <br />HC3 LLC d/b/a St. Clair Develo ment <br />Company Name <br />P.O. Box 6114 <br />Address <br />South Bend, IN 46660 <br />City, State, Zip <br />X�Increased <br />Decreased <br />10/25/2019 <br />0 days <br />0 days <br />10/25/2019 <br />149,485.00 <br />0.00 <br />149,485.00 <br />$ 5,219.46 <br />$ 154,704.46 <br />3.49 % <br />3.49 % <br />RECOMMENDED FOR APPROVAL <br />CONST"ON MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC 'WO KS <br />Approved Date: <br />KA, <br />Gary A. Gilot, President <br />4.v� <br />�i r, Member <br />t.Tt t <br />Elizabeth A. Maradik, Member <br />T hKere e J. orau_ Z:mibar <br />ura L. O Sull nmber <br />