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Contract No:B -44292 <br />INDIANA Department of Transportation <br />Construction Change Order and Time Extension Summary <br />Change Order No.: 004 <br />Page: <br />Contract Information <br />Contract No.: B -44292 <br />Letting Date:09/14/2022 <br />District:LAPORTE DISTRICT <br />AE:Hauersperger, Steven <br />PE/S:Holth, Chris Status:Draft <br />Change Order Information <br />Change Order No.: 004 <br />EWA: Y or Force Acct: N <br />Date Generated: 00/00/0000 <br />Date Approved: 00/00/0000 <br />Reason Code: CHANGED COND, Constructability Related <br />Description: Connection change to water fountain <br />Original Contract Amount <br />$ 3,450,217.13 <br />Current Change Order Amount <br />$ 7,381.52 <br />Percent: 0.214 % <br />Total Previous Approved Changes <br />$ 50,936.86 <br />Percent: 1.476 % <br />Total Change To -Date <br />$ 58,318.38 <br />Percent: 1.690 % <br />Modified Contract Amount <br />$ 3,508,535.51 <br />Time Extension Information <br />Date Initiated 00/00/0000 Date Completed 00/00/0000 <br />Original Contract Time SS Completion Date 05/01/2024 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: This is to bore and install water connection that needed to be adjusted due to issues <br />with the origninal connection point. <br />Current Time Extension SS Days 0 SP Days 2 SP Days Value $ 0.00 <br />Previous Time Approved <br />SS Days by AE: DCE: SCE: DDCM: <br />SS Days <br />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 <br />