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SECTION 00942 as Change Order Form <br />DATE OF ISSUANCE: <br />OWNER: Indian River County <br />CONTRACTOR <br />Bid No:2008081 <br />sssss <br />Project:: 12�Street Sidewalk from 16th Ave to 11th PI. <br />OWNER's Contract No. 2008081 <br />ENGINEER Indian River County <br />No. <br />EFFECTIVE DATE: <br />ENGINEER's Contract No. N/A <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: <br />Description <br />Amount <br />Original Contract Price <br />$ <br />Net Increase (Decrease) from <br />$ <br />previous Change Orders No. <br />to <br />Contract Price prior to this <br />$ <br />Change Order: <br />Net increase (decrease) of this <br />$ <br />Change Order: <br />Contract Price with all approved <br />$ <br />Change Orders: <br />ACCEPTED: <br />By: <br />ature) <br />Date: <br />CHANGE IN CONTRACT TIMES <br />Description Time <br />Original Contract Time: (days or dates) <br />Substantial Completion: <br />Final Completion: <br />Net change from previous Change <br />Orders No. to (days) <br />Substantial Completion: <br />Final Completion: <br />Contract Time prior to this Change <br />Order: (days or dates) <br />Substantial Completion: <br />Final Completion: <br />Net increase (decrease) this <br />Change Order: (days or dates) <br />Substantial Completion: <br />Final Com letion: <br />Contract Time with all approved <br />Change Orders: (days or dates) <br />Substantial Completion: <br />Final Com letion: <br />RECOMMENDED: <br />By: <br />ENGINEER (Signature <br />Date: <br />APPROVED: <br />By: <br />OWNER (Signature) <br />Date: <br />00942 - Change Order Form <br />00942-1 <br />F:\Engineering\Capital Projects\0216-12th Street Between 16th Avenue and 11th Place\0216 Bid Documents\00942 -Change Order Form.doc Rev. 05/01 <br />