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Change order Form <br /> No . 1 <br /> DATE OF ISSUANCE : EFFECTIVE DATE : <br /> OWNER : Indian River Countv <br /> CONTRACTOR Wells and Water Systems Inc <br /> Contract : UCP 2422 <br /> Project : North County Water Treatment Plant Construction of Wells 4 , 5 , 6 <br /> OWNER 's Contract No . 472- 169000-08514 ENGINEER' s Contract No . 2007044 <br /> ENGINEER PBS&J <br /> You are directed to make the following changes in the Contract Documents : <br /> Description : <br /> Construct 3 Additional Wells <br /> Reason for Change Order: <br /> Construct 3 Additional Wells <br /> Attachments : ( List documents supporting change) <br /> Based on Unit Pricing plus 10 % Discount <br /> CHANGE IN CONTRACT CHANGE IN CONTRACT <br /> PRICE : TIMES <br /> Description Amount Description Time <br /> Original Contract Price $818 . 850. 00 Original Contract Time : (dksof dates) <br /> Substantial Completion : ©8 <br /> Net Increase Decrease from Final Completion : <br /> ( Decrease ) $736. 965 . 00 Net change from previous <br /> previous Change Orders No . 0 Change Orders No . 0 to 1 : (days) <br /> to 1 : Substantial Completion : o <br /> Final Com letion : <br /> Contract Price prior to this $818 . 850 . 00 Contract Time prior to this <br /> Change Order: Change Order: (days or dates) <br /> Substantial Completion : 1641 Final Completion :Net increase ( decrease) of this $736. 965. 00 Net increase (decrease <br />) this <br /> Change Order: Change Order: ( days or dates ) <br /> Substantial Completion : pq <br /> Final ,�o`mpletion: <br /> Contract Price with all $.1 . 555 . 815. 00 Contract Time with ail eppr ed , ,> <br /> approved Change Orders : Change Orders : "v <br /> g ( d orr tes ) <br /> Substantia!` Completiom <br /> . 1 1Final Com letio " <br /> ACCEPTEQp - RECOMMENDED : , <br /> ' e�\5 w Watev- �yslt° +W5 AP.MOVED . , <br /> By : r 4WWJ <br /> By .CONTRACTOR ( Signature) E GIN ER (Signet e) R (Signature ) <br /> d San a L . Bowden , Chairman <br /> Date : 5 t o Date : 2 o b0 Date : June 17 , 2008 <br /> Change Order Form IR <br /> 30 <br /> C:Vocuments and Som e - <br /> ngslBobDy �P�PHM DocumentsVChanye Cmlar Form IR.doc oc Rev. 05!0ft <br /> 1 <br />