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Contract No:R -38064 INDIANA Date:06/28/2022 <br />Change Order No:015 Department of Transportation Page: 3 <br />Contract:R -38064 <br />Project:1401810 - State:140181000LC4 <br />Change Order Nbr: 015 <br />Change Order Description: Concrete Sidewalk Participating and Non Participating <br />Reason Code:FINAL QUANTITY ADJUSTMENT <br />CLN PCN PLN Item Code Unit Unit Price CO Qty Comment Amount Change <br />0130 1401810 0128 604-06070 SYS 41.500 -3207.663 C Amount:$ -133,118.01 <br />Item Description:SIDEWALK CONCRETE <br />Supplemental Description1: <br />Supplemental Description2: <br />0143 1401810 0142 604-06070 SYS 41.500 3207.663 C Amount:$ 133,118.01 <br />Item Description:SIDEWALK CONCRETE <br />Supplemental Description1: <br />Supplemental Description2: <br />Total Value for Change Order 015 = $ 0.00 <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 />Change Orders 1, 2 and 3 created new non participating items which replaced participation items that were reduced to zero. The non <br />participating items needed their own purchase order in order for payment to be made on those items. Once the dollar amount of change order 1 <br />exceeded the dollar amount of the new non participating purchase order additional funds were requested to pay for PLN 0128. This was in error <br />as the total dollar amount of the non participating purchase order should have been the net total of the three change orders which it is and the <br />second non participating purchase order should not have been requested. This change order reduces the amount of the non participating item <br />PLN 0128 and creates a new item for the amount of the portion of that item that should have been participating. This change order does not <br />increase the cost of the contract, it just puts the dollar amounts into the purchase orders where they belong. <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 />6/29/22 <br />Robert P. Kuhns, P.E.