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Contract No:B -44292 Change Order No.: 002 <br />INDIANA Department of Transportation Page: 2 <br />Construction Change Order and Time Extension Summary <br />Review and Approval Information <br />Required Approval Authority AE: DCE: SCE: * DDCM: <br />($ per Change Order) (-LE$250K-)(-LE$750K-)(--LE$2M--)(--GT$2M--) <br />(Days per Contract) ( 50 SS days) ( 100 SS days) ( 200 SS Days) ( GT 200 SS days) <br />Verbal Approval Required? / N If Y, by -<,, 1'4 ,esgjee Date Issued 04/27/23 <br />Total Change To-Date>5%? <br />Y /PIf Y, Copy to Program Budget Manager <br />Scope/Design Recommendation <br />Y /Pf Y, Referred to Project Manager(PM) <br />Required? <br />Date to PM Date Returned <br />Approval Authority Concurs with PM? <br />Y /&If Y, Concurrence by Date <br />If N,Resolution: Approved Disapproved <br />Resolved by Date <br />LPA Signatures Required? <br />(�/ N If Y, Date to LPA 05/09/23 Date Returned <br />FHWA Signatures Required? <br />Y /�If Y, Date to FHWA Date Returned <br />* Field Engineer Recommendation (Required for SCE or DDCM Approval) <br />Field Engineer <br />Date <br />Comments: <br />