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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 />11/12/2019 <br />119-059 <br />Fire Station Parking Lot Improvements <br />8/13/2019 <br />1 <br />PCR #1-Add Bollards PCR #2-Add Extra Full Depth Patching PCR <br />#3-Delete Central Fire Station Work <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 />Printed Name and Title <br />Rieth-Riley Consruction Co., Inc. <br />Company Name <br />25200 State Road 23 <br />Address <br />South Bend„ IN 46614 <br />City, State, Zip <br />Increased <br />Decreased <br />10/18/2019 <br />0 days <br />0 days <br />10/18/2019 <br />123,817.50 <br />0.00 <br />123.817.50 <br />$ 4,861.01 <br />$ 128,678.51 <br />3.93 % <br />3.93 % <br />CONSTRUCTION MANAGER <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Approved Date: I in 20/7 <br />Gary A. Gilt„ President <br />Genevi ve E. Miller Member <br />rabeth A. Maradik, Member <br />Therese J. 1366u, Wember <br />Laura L. O'Sullivan, Member <br />