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Contract No:R -39513 <br />Change Order No.: 004 <br />INDIANA Department of Transportation Page: 1 <br />Construction Change Order and Time Extension Summary <br />Contract Information Contract No.: R -39513 <br />Letting Date:10/12/2017 <br />District:LAPORTE DISTRICT AE:Forgey, Ryan <br />PE/S:Million, Jeff Status:Draft <br />Change Order Information Change Order No.: 004 <br />EWA: N or Force Acct: N <br />Date Generated: 00/00/0000 Date Approved: 00/00/0000 <br />Reason Code: CHANGED COND, Constructability Related <br />Description: Overruns and Underruns in excess of $20,000.00 <br />Original Contract Amount $1,938,001.25 <br />Current Change Order Amount $ 16,222.27 <br />Percent: 0.837 % <br />Total Previous Approved Changes $-1,559.46 <br />Percent: -0.081 % <br />Total Change To -Date $ 14,662.81 <br />Percent: 0.756 % <br />Modified Contract Amount $1,952,664.06 <br />Time Extension Information <br />Date Initiated 00/00/0000 Date Completed 00/00/0000 <br />Original Contract Time SS Completion Date 00/00/0000 or SS Calendar/Work Days 0 <br />SP Date 00/00/0000 or SP Days <br />(SS = Standard Specification, SP = Special Provision) <br />Time Element Description: <br />Current Time Extension SS Days 0 SP Days 0 SP Days Value $ 0.00 <br />Previous Time Approved SS Days by AE: DCE: SCE: DDCM: <br />SS Days 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 />