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ENVIRONMENTAL <br />GLASS, INC. <br />12675 Marlin Drive e Redford, MI 48239 ® Voice: 734.261.1930 9 Fax: 734.261.5590 <br />CHANGE ORDER REQUEST <br />Project Name: Liberty Tower Exterior Renovations- 118-086R Change order request: H06' <br />213 W. Washington St. Date: 9/18/2019 <br />South Bend, IN 46601 E.G.I. Project #: 19001 <br />Contracting Authority: City of'South Bend - Board of'Public Works <br />1316 County -City Building <br />227 W. Jefferson Boulvevard <br />South Bend, IN 46601 <br />Ph: 574-235-9251 <br />W1gkg= Cost associated with providing new Terrace Door Hinges <br />Material: Kawneer (27) new terrace door hinges <br />Labor: Environmental Glass Labor to replace hinges on (9) Terrace doors <br />**(3 men x 16 hours (2 days) = 48 hours x $55/hr — $2,640) $ 2,640,00 <br />S 2,640.00 <br />Material & Labor Sub -Total $ 2,640.00 <br />15% OH&P $ 396.00 <br />LU psum Chao -eorderADD S 3,036.00 <br />Sybeduldo lEnp#q1; No Impact <br />Please submit a change order as direction to proceed per the above noted work scope changes. <br />Environmental Glass Inc, <br />Dustin Hopfher <br />9/18/2019 <br />City of South Bend - Board ol'Public Works <br />Accepted by � <br />(Authorized signature) <br />Dated : <br />