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Contract No:R -37497 INDIANA Date:07/14/2021 <br />Change Order No:012 Department of Transportation Page: 3 <br />Contract: R -37497 <br />Project: 1400634 - State:140063400LC4 <br />Change Order Nbr: 012 <br />Change Order Description: Permanent Pavement Markings Change <br />Reason Code: SCOPE CHANGES, Project Upgrades <br />CLN PCN PLN Item Code Unit Unit Price CO Qty Comment Amount Change <br />0013 1400634 0013 202-74035 EACH 55.000 2.000 C Amount:$ 110.00 <br />Item Description:SIGN, REMOVE <br />Supplemental Description1: <br />Supplemental Description2: <br />0084 1400634 0084 802-05705 LFT 13.000 30.000 C Amount:$ 390.00 <br />Item Description:SIGN POST, SQUARE TYPE 2 UNREINFORCED ANCHOR BASE <br />Supplemental Description1: <br />Supplemental Description2: <br />0086 1400634 0086 802-09838 SFT 13.000 55.750 C Amount:$ 724.75 <br />Item Description:SIGN, SHEET, WITH LEGEND, 0.080 IN. <br />Supplemental Description1: <br />Supplemental Description2: <br />0108 1400634 0108 808-05866 SYS 6.100 3.400 C Amount:$ 20.74 <br />Item Description:PAVEMENT MESSAGE MARKING, REMOVE <br />Supplemental Description1: <br />Supplemental Description2: <br />0109 1400634 0109 808-06716 LFT 0.450 605.000 C Amount:$ 272.25 <br />Item Description:LINE, REMOVE <br />Supplemental Description1: <br />Supplemental Description2: <br />0110 1400634 0110 808-10031 LFT 3.300 25.000 C Amount:$ 82.50 <br />Item Description:LINE, MULTI-COMPONENT, BROKEN, WHITE, 4 IN. <br />Supplemental Description1: <br />Supplemental Description2: <br />0114 1400634 0114 808-10037 LFT 1.290 900.000 C Amount:$ 1,161.00 <br />Item Description:LINE, MULTI-COMPONENT, SOLID, WHITE, 8 IN. <br />Supplemental Description1: <br />Supplemental Description2: <br />0115 1400634 0115 808-10039 LFT 7.900 500.000 C Amount:$ 3,950.00 <br />Item Description:LINE, MULTI-COMPONENT, SOLID, WHITE, 12 IN. <br />Supplemental Description1: <br />Supplemental Description2: <br />0121 1400634 0121 808-10077 EACH 175.000 4.000 C Amount:$ 700.00 <br />Item Description:PAVEMENT MESSAGE MARKINGS MULTI-COMPONENT LANE INDICATION AR <br />Supplemental Description1: <br />Supplemental Description2: <br />0135 1400634 0134 110-01001 LS 2,193.500 1.000 C Amount:$ 2,193.50 <br />Item Description:MOBILIZATION AND DEMOBILIZATION <br />Supplemental Description1: Additional For CO 12