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Contract No:R -43125 INDIANA Date:09/12/2022 <br />Change Order No:001 Department of Transportation Page: 3 <br />Contract:R -43125 <br />Project:1902178 - State:190217800LC4 <br />Change Order Nbr: 001 <br />Change Order Description: Material change due to small contract quantity <br />Reason Code:SCOPE CHANGES, Material Related <br />CLN PCN PLN Item Code Unit Unit Price CO Qty Comment Amount Change <br />0030 1902178 0030 501-06321 SYS 83.000 -1760.000 C Amount:$ -146,080.00 <br />Item Description:QC/QA-PCCP, 10 IN. <br />Supplemental Description1: <br />Supplemental Description2: <br />Total Value for Change Order 001 = $ -146,080.00 <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 />Because of the small quantity of pavement concrete needed on this project (1,760. sys), request was made to change material from 501 to 502 <br />mix and INDOT agreed with the change. CO #1 is to remove CLN/PLN item 30 QC-QA PCCP, 10 inch. <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.