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Contract No:R -37497 INDIANA Date:09/15/2020 <br />Change Order No:004 Department of Transportation Page: 3 <br />Contract: R -37497 <br />Project: State:140063400LC4 <br />Change Order Nbr. 004 <br />Change Order Description: Utility Delay <br />Reason Code: CHANGED COND, Utility Related <br />CLN PCN PLN Item Code Unit Unit Price Co CRY Comment Amount Change <br />Total Value for Change Order 004 = 6 0.00 <br />Milestone Tim Adjustment <br />Milestone Nbr: 02 <br />Milestone Description: INTERMEDIATE COMPLETION DATE <br />Original Completion dl: 09118f2020 Adj comp) dt 09/2212020 Ad) No. of Days 4 <br />Explanation: An oxtonslon of the clalondar days Is being added to the Intermediate completion date due to a delay In the verification of <br />a 12 Inch abandoned gas main on Bendlx Drive. <br />Whereas, the Standard Specifications forthla contract provides for such work to be performed, the following change is recommended. <br />General or Standard Change Order Explanation <br />A time extension of 4 days is being glvon to the Intermediate completion date for the delay of verification of the vacated 12Inch existing gas main <br />on Bondix Dr. The existing gas main was relocated prior to the contractor beginning construction. The main was encountered during the <br />Installation of the storm sewer for phase II on Bondix. At the precon, NIPSCo staled they could be on alto within 24 hours to verify any <br />encountered pipes, NIPSCo was notified on Monday morning July 0, 2020 at about 10 am. NIPSCo was not able to be on alto for verification until <br />Wednesday July B, 2020 to confirm the goo main had been vacated. All work on the project was hafted until NIPSCo had confirmed the existing <br />main had been vacated. A (inlay of 3 calendar days is the result. The Intermediate completion date Is being extended out 4 days to account for <br />Sunday September 20th. No additional payment will be mode for this change order. <br />Change Order Explanation for Specific Line Item <br />HYf f/HYff IMiHR/YYi1YYHfY HfYHHiHftHY1YY W Y.15YHYY/Y/fYHYHYY.YRYIHYf YIR....RH.Yf HY VH.Y/YYYYHfIHHHHM41/fA <br />it Is the Intent of the parties that this change order Is full and complote compenoatlon for the work doseribe above. <br />Notification and con )t to th/ls change order Is hereby acknowledged. <br />Contractor,_..�N��_�p signedBy:_�/...`/ .�__........ <br />Dole,.— <br />. . ..... w.IH..IYRRHR....IIIHVYRH..... H....WHIR..IIR.YH1H..... NIHfIHAYRHiIH IHYHRYIHHI/H4RHII <br />NOTE: Other raciulred State and FNWA signatures will be obtained olactronically through the SlteManager system. <br />