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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 /> Contract : <br /> Project : <br /> OWNER' s Contract No . ENGINEER' s Contract No , <br /> ENGINEER <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 Ti7dates ) <br /> Original Contract Price $ Original Contract Time : (d <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 : <br /> By : By : <br /> CONTRACTOR ( Signature ) ENGINEER ( Signature ) OWNER ( Signature ) <br /> Date : Date : <br /> Date : <br /> 00942 - Change Order Form REV 04-07 . doc <br /> 00942 - 1 <br /> FAEngineedng\Special Projects\Eagle Trace Phase 2\Conlract Documents\Eagie Trace Subdivision Phase 11\00942 - Change Order Form REV 04-07.doc Rev. 05101 <br />