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SECTION 00942 - Change Order Form <br /> No. 1 0 O-Q <br /> DATE OF ISSUANCE: 1/22/03 EFFECTIVE DATE:1/22/03 <br /> OWNER: Indian River County <br /> CONTRACTOR WCG, Inc. <br /> Contract: <br /> Project: Central WWTF Odor Control Upgrades ed <br /> OWNER's Contract No. ENGINEER's Contract NO: <br /> ENGINEER <br /> tl. <br /> You are directed to make the following changes in the Contract Documents: <br /> Description: <br /> C E v <br /> Reason for Change Order: 2003 <br /> Addition of Fiberglass Reinforced Pipe (FRP) Couplings <br /> Attachments: (List documents supporting change) <br /> CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIMES <br /> Description Amount Description Time <br /> Original Contract Price $271,87 Original Contract Time: (days or dates) <br /> .5:00 Substantial Completion: <br /> Final Completion: <br /> Net Increase (Decrease)from $0 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 $271.87 Contract Time prior to this Change <br /> Change Order: 5.00 Order: (days or dates) <br /> Substantial Completion: <br /> Final Completion: <br /> Net increase (decrease)of this $4.110.0 Net increase (decrease) this <br /> Change Order: 0 Change Order: (days or dates) <br /> Substantial Completion: <br /> Final Completion: <br /> Contract Price with all approved $275.98Contract Time with all approved <br /> Change Orders: 5.00 Change Orders: (days or dates) <br /> Substantial Completion: <br /> Final Com letion: <br /> It A <br /> CC RECO NDE APPROVED: <br /> Aaro Bo les Er Olson <br /> �k— <br /> By: By, <br /> (Signature) ENGINEER (SignatureOWNER (Signature) <br /> � Date: l ZW03 Date: r7 <br /> 00942-1 00942-Change Order Form.doc <br /> FAUtilities\UTILITY-ENGINEERING\Projects-O&M Projects\Central W WTF WCG Improvements-UCP#2217\00942-Change Order Form.doc Rev.05/01 <br />