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Contract No:R -36881 INDIANA <br />Change Order No:001 Department of Transportation <br />Date:06I2912018 <br />Page: 3 <br />Contract: R -36881 <br />Project: 1382758 - State: 138275800LC4 <br />Change Order Nbr: 001 <br />Change Order Description: Design change of Structural Backfili type <br />Reason Code: CHANGED COND, Constructability Related <br />C L N PCN PLN Item Code Unit Unit Price Co aty Comment Amount Change <br />0025 1382758 0025 211-09265 CYS 35.000-509.000 C Amount:$-17,815.00 <br />Item Description: STRUCTURE BACKFILL, TYPE 2 <br />Supplemental Descriptionl: <br />Supplemental Description2: <br />0115 1382758 0115 211-09264 CYS 35.000 509.000 C Amount:$ 17,815.00 <br />Item description: STRUCTURE BACKFILL TYPE 1 <br />Supplemental Descriptionl: <br />Supplemental Description2: <br />Total Value for Change Order 001 = $ 0.00 <br />Whereas, the Standard Specifications for this contract provides for such work to be performed, the following change is recommended. <br />General or Standard Change Order Explanation <br />Design change to change structural backfill type 2 to type 1 due to the native material is sufficient material. <br />Change order Explanation for Specific Line Item <br />************kk:Yhit4xk:Yh..... ..Ytkkfh r+Fkk:whxxdtxk:Yxwkx%k.**..xzfk*xxRfxk*--..xx*#x*x*x*k****wk***ir*kk*k**k**k****k**k**kk*k <br />It is the intent of the parties that this change order is full and complete compensation for the work describe above. <br />Notification and consent to this change order is hereby acknowledged. <br />Contractor: <br />Signed By: <br />NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. <br />