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CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />PROJECT CHANGE ORDER <br />DATE: <br />11 /14/19 <br />PROJECT NO: <br />119-055 <br />PROJECT NAME: <br />Palais Royale Interior Painting <br />CONTRACT DATE: <br />10/08/19 <br />CHANGE ORDER NO. <br />_ <br />1 ............... <br />SUBJECT OF CHANGE ORDER: <br />See attached memo for SUMMaof dean es. Wuu <br />See attached Com arison of Estimate for overruns and underruns. <br />The original contract sum <br />$ <br />34,160 <br />Net change by previously authorized change orders <br />$ <br />0 <br />The contract sum prior to this change order <br />$ <br />......... <br />34,160 <br />By this Change Order, the project amount is ❑ Increased <br />❑ Decreased <br />$ <br />n/a <br />The new contract sum including this change order <br />g <br />$ <br />34160 <br />This Change Order represents a total change of <br />0 % <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 />o�atr< orZ <br />zine <br />Jerry Tapia, Project Manager <br />Printed Name and Title <br />M & V Pro Services <br />Company name <br />1126 Western Avenue <br />Address <br />South Bend, IN 46601 <br />City, State, Zip��������_�_�.�_...������.....�W��.....-�_ <br />11/25/19 <br />7 calendar days <br />12/02/19 <br />RECOMMENDED FOR APPROVAL <br />C.Oi STJ�MAN—AGF'R <br />CITY SOUTH BEND <br />BOARD OF PUBLIC ORKS <br />Approved Date: I� jab ( Q <br />Gary A. Gilot, President <br />Cea uvmu' e E. Miller, Member <br />.. <br />Elizabeth A. Maradik, Member <br />