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Contract No:R -38064 INDIANA Date:06/27/2022 <br />Change Order No:011 Department of Transportation Page: 3 <br />Contract:R -38064 <br />Project:1401810 - State:140181000LC4 <br />Change Order Nbr: 011 <br />Change Order Description: Provide Type 10 Casting to Replace Type 7 Casting <br />Reason Code:ERRORS & OMISSIONS, Design/Plan Related <br />CLN PCN PLN Item Code Unit Unit Price CO Qty Comment Amount Change <br />0139 1401810 0138 720-44055 EACH 1,003.130 2.000 C Amount:$ 2,006.26 <br />Item Description:CASTING 10 FURNISH AND ADJUST TO GRADE <br />Supplemental Description1: Replace F7 <br />Supplemental Description2: <br />Total Value for Change Order 011 = $ 2,006.26 <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 />The casting for Structures 209 and 210 called for type 7 castings. These casting are in the pavement on Woodward Avenue. The castings being <br />a beehive shape do not work as snowplows would hit them and most likely dislodge them. They also are not bicycle safe and would not provide <br />proper drainage along the curb line. This change order is to replace the type 7 castings with type 10 castings with curb backs and bicycle safe <br />grates. The contractors request for change order is attached to this change order. A cost analysis was performed and is outside the average unit <br />price for this item. However it is below the average unit price and deemed acceptable. This work is necessary to complete the original scope of <br />the contract and is therefore deemed participating. The AE and PM have been notified and their notification, concurrence emails are attached. <br />Change Order Explanation for Specific Line Item <br />**************************************************************************************************************************** <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:____________________________________________Signed By:_____________________________________________ <br />Date:__________________________________________________ <br />*************************************************************************************************************************** <br />NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. <br />Selge Construction Co., Inc. <br />Robert P. Kuhns, P.E. <br />6/28/22