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Contract No:R -39514 Change Order No.: 002 <br />INDIANA Department of Transportation Page: 2 <br />Construction Change Order and Time Extension Summary <br />Review and Approval Information <br />Required Approval Authority AE: DCE: SCE: ; DDCM: <br />($ per Change Order) (-LE$250K-)( LE$750K-)(--LE$2M--)(--GT$2M--) <br />(Days per Contract) ( 50 SS days) ( 100 SS days) ( 200 SS Days) ( GT 200 SS days) <br />Verbal Approval Required? Y / N If Y, by Date Issued <br />Total Change To-Date>5%? Y / N If Y, Copy to Program Budget Manager <br />Scope/Design Recommendation Y / N If Y, Referred to Project Manager(PM) <br />Required? <br />Date to PM Date Returned <br />Approval Authority Concurs with PM? Y / N If Y, Concurrence by Date <br />If N,Resolution: Approved Disapproved <br />Resolved by Date <br />LPA Signatures Required? Y / N If Y, Date to LPA Date Returned <br />FHWA Signatures Required? Y / N If Y, Date to FHWA _ Date Returned <br />* Field Engineer Recommendation (Required for SCE or DDCM Approval) <br />Field Engineer c0� -e. Date )0 - ?/ "Ii <br />Comments: - _ 5 <br />