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SECTION 00942 <br /> CHANGE ORDER FORM <br /> . No . <br /> DATE OF ISSUANCE : EFFECTIVE DATE : <br /> OWNER : Indian River County <br /> CONTRACTOR <br /> Project : Indian River County Department of Utility Services — Operations Complex <br /> OWNER's Project No . UCP #2229 ENGINEER's Contract No , <br /> ENGINEER Brown and Caldwell <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 /> escri tion Amount Description Time <br /> riginal 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 /> ACCEPTED : RECOMMENDED : APPROVED : <br /> By: By : By: <br /> CONTRACTOR (Signature ) ENGINEER ( Signature ) OWNER (Signature) <br /> ate : Date : Date : <br /> END OF SECTION <br /> IRC OPERATIONS COMPLEX 00942 — Change Order Form <br /> 00942 - 1 <br />