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yea H Mi h, <br />CITY OF SOUTH BEND, INDIANA a <br />;m34 <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: 8/26/2019 <br />PROJECT NO: 118-043R <br />PROJECT NAME: VPA Restroom Remodelin <br />CONTRACT DATE: 1/22/2019 <br />CHANGE ORDER NO: 3 <br />SUBJECT OF CHANGE ORDER: PCR #3-Unforeseen repairs & delay <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 Signature <br />w <br />«^ <br />Printed Name and Titfe <br />Michiana Contracting Inc. <br />Company Name <br />7843 Lilac Rd. PO Box 929 <br />Address <br />.Plymouth, IN 46563 <br />City, State, Zip <br />$ 490,000.00 <br />$ 35,250.82 <br />$ 525,250.82 <br />X�Increased <br />Decreased $ 4,058.00 <br />$ 529,308.82 <br />0.77 % <br />8.02 % <br />8/30/2019 <br />19 days <br />23 days <br />10/11/2019 <br />r Y T M. M ���:, w s rN. JY1 M N •.. i <br />IM <br />•1UN MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: e <br />Gary A. Gilot, P 'sident <br />Genevi ve E. Miller, Member <br />I L I- a <br />Elizabeth A. Maradik, Member <br />-,.-„ <br />There J. Dorau,,,Me' er <br />"'l�aura O'Sullivan, Member <br />