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SECTION 00942 - Change Order Form <br /> No . <br /> DATE OF ISSUANCE : EFFECTIVE DATE : <br /> OWNER: Indian River County <br /> CONTRACTOR <br /> Bid No : 2008080 <br /> Project: 12�Street Sidewalk from 43rd Ave to 27th Ave . <br /> OWNER's Contract No . 2008080 ENGINEER's Contract No . 0604 <br /> ENGINEER Indian River County <br /> You are directed to make the following changes in the Contract Documents : <br /> Description : <br /> Reason for Change Order: <br /> Attachments : ( List documents supporting change) <br /> CHANGE IN CONTRACT PRICE : CHANGE IN CONTRACT TIMES <br /> Description Amount -Description Time <br /> Original Contract Price $ Original Contract Time : (days or dates) <br /> Substantial Completion : <br /> Final Completion : <br /> Net Increase ( Decrease) from $ Net change from previous Change <br /> previous Change Orders No . Orders No . to (days) <br /> to Substantial Completion : <br /> Final Completion : <br /> Contract Price prior to this $ Contract Time prior to this Change <br /> Change Order: Order: (days or dates ) <br /> Substantial Completion : <br /> Final Completion : <br /> Net increase (decrease) of this $ Net increase (decrease ) this <br /> Change Order : Change Order: (days or dates) <br /> Substantial Completion : <br /> Final Completion : <br /> Contract Price with all approved $ Contract Time with all approved <br /> Change Orders : Change Orders : (days or dates ) <br /> Substantial Completion : <br /> Final Completion : <br /> FP <br /> ACCEPTED : RECOMMENDED : APPROVED : <br /> By: By: By: <br /> CONTRACTOR (Signature) ENGINEER (Signature) OWNER (Signature ) <br /> Date : Date : Date : <br /> 00942 - Change Order Form <br /> 00942 - 1 <br /> F:\Engineering\Capital Projects\0604-12th St Sidewalk Improve between 43rd Ave & 27th Ave\Bid Documents\00942 - Change Order Form.doc Rev. 05/01 <br />