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Contract No:R -37497 <br />Change Order No:003 <br />INDIANA <br />Department of Transportation <br />Contract: R -37497 <br />Project: 1400634 - State:1400634001-C4 <br />Change Order Nbr: 003 <br />Date:10/06/2020 <br />Page: 3 <br />Change Order Description: Extra Costs Associated with Plan Changes <br />Reason Code: ERRORS & OMISSIONS, Construct Related <br />CLN PCN PLN Item Code Unit Unit Price co oty Comment Amount Change <br />0125 1400634 0125 105-06807 LS 4,166.800 1.000 <br />Item Description: ADDITIONAL <br />Supplemental Descriptionl: Additional cost associaes with plan change. <br />Supplemental Description2: <br />Milestone Time Adjustment <br />Milestone Nbr: 02 <br />Amount:$ 4,166.80 <br />Total Value for Change Order 003 = $ 4,166.80 <br />Milestone Description: INTERMEDIATE COMPLETION DATE <br />Original Completion dt: 09/1812020 Adj compl dt 09/23/2020 Adj No. of Days 5 <br />Explanation: A time extension Is being granted because revision of the road forced a rescheduling of the subgrade treatment by 5 <br />days. The area was completed and had to be regraded and casting readjusted as well. <br />Whereas, the Standard Specifications for this contract provides for such work to be performed, the following change is recommended. <br />General or Standard Change Order Explanation <br />This change order is for additional costs associated with the plan changes on Bandix Rd between Sugar Maple and Nimtz parkway. Upon initial <br />completion of the excavation and grading of the proposed Bandix Rd, there are several conflicts with In the new alignment of Bandix that do not <br />allow for the completon of the road as designed. Choice Light has a fiber optic line within the proposed road limits. There is also a handhole <br />containing the fiber optid line as well as a street light foundation within the limits of the new roadway. A design change was needed and the road <br />had to be regraded to meet the requirements of the design change. This change order Includes all of the associated costs of the contractor to <br />make the neccessaty changes. Costs for construction engineering and grading are Included in this change order. Five additional days will be <br />granted due to this change order. All Items deemed reasonable based on a review of the documents. <br />Change Order Explanation for Specific Line Item <br />... «,,,,,,,,,,,,,,,,,,»,.,..... ,...... ....,..,....,.,.,,.,,,.,,,,,,«»,,..,«...... ,,... .,,.... ,..,...,«,«.,,... *..,,. <br />It is the intent of the parties that this change order is full and complete compensation for the work describe above. <br />Notification and consent to this change order is hereby acknowledged. <br />Contractor: K1= <br />Date: 7- o16��% <br />Signed By: / <br />..«,.«,.,,,.„..........................»,....,......,.„„«......,,,,.........,,.....,...,,.».«,.,..,.,,,...,.,.,... <br />NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. <br />