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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 />Project: Indian river County Public Shooting Range — Skeet and Trap Facility Improvements <br />(Phase I) <br />OWNER's Project No. 1213 <br />ENGINEER's Bid No. 2014026 <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 />RECOMMENDED <br />By: <br />ACCEPTED <br />By: <br />CHANGE IN CONTRACT PRICE: <br />Description <br />Amount <br />Original Contract Price <br />$ <br />Net <br />previous <br />Increase (Decrease) <br />Change <br />to <br />from <br />Orders No. <br />: <br />$ <br />Substantial Completion: <br />Final Completion: <br />Contract Price prior <br />Change Order: <br />to this <br />$ <br />Net <br />Change <br />Net <br />Change <br />increase (decrease) of this <br />Order: <br />$ <br />Contract Price with all approved <br />Change Orders: <br />$ <br />RECOMMENDED <br />By: <br />ACCEPTED <br />By: <br />CONTRACTOR (Signature) <br />Date: <br />CHANGE IN CONTRACT TIMES <br />RECOMMENDED <br />By: <br />ENGINEER (Signature) <br />Date: <br />CHANGE IN CONTRACT TIMES <br />Description <br />Time <br />Original Contract Time. <br />Substantial Completion: <br />Final Completion: <br />(days or dates) <br />Net <br />Orders <br />change from previous <br />No. to <br />Change <br />: <br />(days) <br />Substantial Completion: <br />Final Completion: <br />Contract Time prior to this Change <br />Order: <br />Substantial Completion: <br />Final Completion: <br />(days or dates) <br />Net <br />Change <br />increase (decrease) this <br />Order: <br />Substantial Completion: <br />Final Completion: <br />(days or dates) <br />Contract Time with all approved <br />Change Orders: <br />Substantial Completion: <br />Final Completion: <br />(days or dates) <br />RECOMMENDED <br />By: <br />ENGINEER (Signature) <br />Date: <br />APPROVED' <br />By: <br />OWNER (Signature) <br />Date: <br />00942 - Change Order Form REV 04-07.doc <br />00942 - 1 <br />F:\Public Works\ENGINEERING DIVISION PROJECTS11213-IRC Shooting Range -Skeet & Trap Improvemnts & Hunters Train Bldg\Admim\bid documents\Contract <br />Documents\00942 - Change Order Form REV 04-07.doc Rev. 05/01 <br />