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Contract No:B -44292 <br />INDIANA Department of Transportation <br />Construction Change Order and Time Extension Summary <br />Review and Approval Information <br />Required Approval Authority <br />($ per Change Order) <br />(Days per Contract) <br />Verbal Approval Required? <br />Total Change To-Date>5%? <br />Scope/Design Recommendation <br />Required? <br />Change Order No.: 003 <br />Page: 2 <br />AE: X DCE: SCE: * DDCM: <br />(-LE$250K-)(-LE$750K-)(--LE$2M--)(--GT$2M--) <br />( 50 SS days ) ( 100 SS days ) ( 200 SS Days ) ( GT 200 SS days) <br />© N If Y, by S.Hauersperger Date Issued 06/19/23 <br />Y , NQf Y , Copy to Program Budget Manager <br />Y ( Y, Referred to Project Manager(PM) _ <br />Date to PM <br />Approval Authority Concurs with PM? Y ED Y, Concurrence by <br />LPA Signatures Required? <br />FHWA Signatures Required? <br />If N,Resolution: Approved <br />Resolved by <br />Date Returned <br />QY / N If Y, Date to LPA 06/21/23 <br />Y /Ek Y, Date to FHW. <br />* Field Engineer Recommendation (Required for SCE or DDCM Approval) <br />Field Engineer <br />Comments: <br />Date <br />Date <br />Disapproved <br />Date <br />Date Returned <br />Date Returned <br />