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SECTION 00942 - Change Order Form <br /> DATE OF ISSUANCE : EFFECTIVE DATE : <br /> OWNER : Indian River County <br /> CONTRACTOR <br /> Contract: 2008 <br /> Project: 5 Street SW / 43rd Avenue Bridge Replacement and Intersection Improvements . <br /> OWNER's Contract No . ENGINEER's Contract No , <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 Com letion : <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 : I (days or dates ) <br /> Substantial Completion : <br /> Final Completion : <br /> ACCEPTED : RECOMMENDED : APPROVED : <br /> By: By : By: <br /> CONTRACTOR (Signature) ENGINEER (Signature) OWNER (Signature) <br /> Date : Date : Date : <br /> 00942 - Change Order Form REV 04-07 <br /> 00942 - 1 <br /> FAEngineering\Capital Projects\0206 5th ST SW & 43rd AVE Bridge Replacement & Roadway Improvements\CONTRACT BID\00942 - Change Order Foran REV 04-07.doc <br /> . <br /> Rev. 05101 <br />