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Contract No:R -38064 INDIANA Date:09/14/2023 <br />Change Order No:016 Department of Transportation Page: 3 <br />Contract:R -38064 <br />Project:1401810 - State:140181000LC4 <br />Change Order Nbr: 016 <br />Change Order Description: Final Closeout <br />Reason Code:FINAL QUANTITY ADJUSTMENT <br />CLN PCN PLN Item Code Unit Unit Price CO Qty Comment Amount Change <br />0011 1401810 0011 202-02240 SYS 55.000 592.290 C Amount:$ 32,575.95 <br />Item Description:PAVEMENT REMOVAL <br />Supplemental Description1: <br />Supplemental Description2: <br />0028 1401810 0028 301-12234 CYS 57.650 382.770 C Amount:$ 22,066.69 <br />Item Description:COMPACTED AGGREGATE NO. 53 <br />Supplemental Description1: <br />Supplemental Description2: <br />0038 1401810 0038 604-06070 SYS 82.000 358.940 C Amount:$ 29,433.08 <br />Item Description:SIDEWALK, CONCRETE <br />Supplemental Description1: <br />Supplemental Description2: <br />0043 1401810 0043 605-06120 LFT 48.000 445.000 C Amount:$ 21,360.00 <br />Item Description:CURB, CONCRETE <br />Supplemental Description1: <br />Supplemental Description2: <br />Total Value for Change Order 016 = $ 105,435.72 <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 is the change order for the final close out consisiting of over runs and under runs. No additioanl time is being added to the contract for these <br />items. PM has been notified. <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:____________________________________________Signed By:_____________________________________________ <br />Date:__________________________________________________ <br />*************************************************************************************************************************** <br />NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system.