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Contract No:R -36881 <br />Change Order No.: 002 <br />INDIANA Department of Transportation <br />Page: 1 <br />Construction Change Order and Time Extension <br />Summary <br />Contract Information Contract No.: R -36881 <br />Letting Date:09/1312017 <br />District:LAPORTE DISTRICT AE:Forgey, Ryan <br />PE/S:Carey, Michael Status:Draft <br />Change Order Information Change Order No.: 002 <br />EWA: Y or Force Acct: N <br />Date Generated: 00/00/0000 Date Approved: 00/00/0000 <br />Reason Code: INCENTIVE/DISINCENT, Closure Times <br />Description: Road closure 6 weeks extension and $30,000 credit <br />Original Contract Amount $ 1,163,781.52 <br />Current Change Order Amount $-30,000.00 <br />Percent: -2.578 % <br />Total Previous Approved Changes $ 0.00 <br />Percent: 0.000 % <br />Total Change To -Date $-30,000.00 <br />Percent: -2.578 % <br />Modified Contract Amount $ 1,133,781.52 <br />Time Extension Information <br />Date Initiated 06/28/2018 Date Completed 00/00/0000 <br />Original Contract Time SS Completion Date 00/00/0000 or SS CalendarlWork Days 0 <br />SP Date 04/19/2018 or SP Days <br />(SS = Standard Specification, SP = Special Provision) <br />Time Element Description: <br />Current Time Extension <br />Previous Time Approved <br />SS Days 0 SP Days 42 SP Days Value $ 0.00 <br />SS Days by AE: DCE: SCE: DDCM: <br />SS Days <br />SP Days Value $ <br />Revised Contract Time SS Completion Date 00/00/0000 or SS Calendar[Work Days 0 <br />SS Date 00/00/0000 or SP Days 0 <br />