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Contract No:R -36881 <br />Change Order No.: 001 <br />INDIANA Department of Transportation <br />Construction Change Order and Time Extension Summary <br />Contract Information Contract No.: R -36881 Letting Date:09/13/2017 <br />District:LAPORTE DISTRICT AE:Forgey, Ryan PEIS:Carey, Michael <br />Change Order Information <br />Change Order No.: 001 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: Design change of Structural Backfill type <br />Original Contract Amount <br />$ 1,163,781.52 <br />Current Change Order Amount <br />$ 0.00 Percent: 0.000 % <br />Total Previous Approved Changes <br />$ 0.00 Percent: 0.000 % <br />Total Change To -Date <br />$ 0.00 Percent: 0.000 % <br />Modified Contract Amount <br />$ 1,163,781.52 <br />Time Extension Information <br />Date Initiated 00/00/0000 Date Completed 00/00/0000 <br />Page: 1 <br />Status:Pending <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 <br />Previous Time Approved <br />SS Days 0 SP Days 0 <br />SS Days by AE: DCE: <br />SS Days <br />SP Days Value $ 0.00 <br />SCE: DDCM: <br />SP Days Value $ <br />Revised Contract Time SS Completion Date 00/00/0000 or SS CalendarfWork Days 0 <br />SS Date 00/00/0000 or SP Days 0 <br />