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Contract No:R -43125 Change Order No.: 001 <br />INDIANA Department of Transportation Page: 1 <br />Construction Change Order and Time Extension Summary <br />Contract Information Contract No.: R -43125 Letting Date:03/09/2022 <br />District:LAPORTE DISTRICT AE:Hauersperger, Steven PE/S:Carter, Scott Status:Approved <br />Change Order Information Change Order No.: 001 EWA: N or Force Acct: N <br />Date Generated: 07/16/2022 Date Approved: 08/26/2022 <br />Reason Code: SCOPE CHANGES, Material Related <br />Description: Material change due to small contract quantity <br />Original Contract Amount $ 655,280.20 <br />Current Change Order Amount $ -146,080.00 Percent: -22.293 % <br />Total Previous Approved Changes $ 151,247.65 Percent: 23.081 % <br />Total Change To-Date $ 5,167.65 Percent: 0.788 % <br />Modified Contract Amount $ 660,447.85 <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