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CX <br /> CIO lei 1Qa <br /> Change Order Form <br /> No . 1 <br /> DATE OF ISSUANCE : 9- 17- 12 EFFECTIVE DATE : <br /> OWNER : Indian River County <br /> CONTRACTOR A . M . Construction Group Inc. <br /> Contract : Bid No . : 2012042 <br /> Project : South Regional Wastewater Treatment Facility Headworks Rehabiliation <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 : Replace 5 (five) Pipe support Pedestals , Replace 2 (two) 16 inch Diameter Knife <br /> Valves , Repair Headworks Odor Control Tower and Blower Base , and Extend Chlorine Fill <br /> Lines <br /> Reason for Change Order: <br /> Facility Inspection revealed several components that were noted to be in dilapidated <br /> condition and need repair <br /> Attachments : ( List documents supporting change) <br /> Attachment # 1 (A . M . Construction Group Proposal) <br /> Attachment # 2 (Pictures of Pipe Pedestals , Knife Valves , and Headworks Odor Control <br /> Tower and Blower Base <br /> CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIMES <br /> Description Amount Description Time <br /> Original Contract Price $89, 177 . 43 Original Contract Time: (days or dates) <br /> Substantial Completion : 90 <br /> Final Completion : 105 <br /> Net Increase ( Decrease) from previous $0 Net change from previous Change <br /> Change Orders No . 0 to 0 : Orders No. 0 to 0 : (days) <br /> Substantial Completion : 90 <br /> Final Completion : 105 <br /> Contract Price prior to this Change $89 . 177 . 43 I Contract Time prior to this Change <br /> Order: Order: (days or dates) <br /> Substantial Completion : 90 <br /> Final Completion : 105 <br /> Net increase (decrease) of this Change $27. 200 . 00 Net increase (decrease) this <br /> Order: Change Order: (days or dates) <br /> Substantial Completwrr:� ' �� <br /> Finalm ,ICtwhY ' � <br /> Contract Price with all approved $ 116 . 377 .43 Contract Time with all JVehf �a <br /> TM. a <br /> Change Orders : Change Orders : �, � rlaya dgtes) <br /> SubstaomQlon : s0 <br /> F m le , : ..% <br /> il <br /> ACCEPTED : RECOMMENDED : �QVE. •rm mikee <" <br /> Abel Mendez Aaron Bowles � <br /> 0 k - <br /> By : y: Bv : �. <br /> CONTRACTOR (Signature) ENGINEER (Signature) OWNER: ateirti) <br /> Gary C . c f eefer , Chairman <br /> Date : 9- 17- 12 Date : 9- 17- 12 Date : r)riwpher 16 , 2.pj <br /> Agenda - Change Order No 1 South WWTF Headworks Change Order with AM Construction Group Inc October 2012 Form <br /> 00942 - 1 <br /> CADocuments and Settings\acosner\Local Settings\Temporary Internet Files\OLI(71 Wgenda - Change Order No 1 South W WTF Headworks Change Order with AM <br /> Construction Group Inc October 2012 Fono.doc Rev. 05/01 <br />