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LJUUUJIYII CI IVCIupc ILJ. ICU I F-DUu C-Y044-0100-4u/1/uo I I U/_0LJ <br /> PO#:461001608 <br /> Routing#:21-HA4-ZG-00096 <br /> Exhibit G <br /> 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 /> I 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#90 6/02 <br /> Document Builder Generated Exhibit G-Page 1 of 1 <br /> Rev. 12/09/2016 <br />