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PO#:461001235 <br /> Routing#: 19-HA2-ZG-00098 <br /> Exhibit G—CONTRACT MODIFICATION ORDER <br /> COLORADO DEPARTMENT OF TRANPORTATION Project No. Project code <br /> CONTRACT MODIFICATION ORDER <br /> Location <br /> Date Project order No. <br /> Contractor Estimated cost to project <br /> ❑ increase ❑ Decrease $ <br /> Complete Address Total additional days allowed to complete work Federal oversight <br /> ❑ yes ❑ no <br /> Modification title <br /> 1 accept this order,for work to be performed and prices on which payment is to be based. <br /> REQUIRED IN ACCORDANCE WITH THE INSTRUCTIONS IN CDOT'S REQUIRED FOR ALL CHANGE ORDERS <br /> CONSTRUCTION MANUAL Authorized by Project Engineer: Date <br /> Approved by FHWA Operations Engineer: Date <br /> Contractor Representative: Date <br /> OPTIONAL <br /> Approved by Region Transportation Director: Date Approved by Resident Engineer Date <br /> ❑ Participating ❑ Non participating ❑ Participation as noted <br /> Approved funding by Region Program Engineer: Date <br /> Previous editions are obsolete and may not be used CDOT Form 990 6102 <br /> Document Builder Generated Page 28 of 28 <br /> Rev. 12/09/2016 <br />