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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 /> Bid No . 2013007 <br /> Project : Indian River Boulevard Resurfacing (41st Street to 53rd Street) <br /> OWNER's Project No . 1131 <br /> ENGINEER Indian River County <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 Time <br /> Original Contract Price $ Original Contract Time: (days or dates) <br /> Substantial Completion : <br /> Final Com letion : <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: By: By: <br /> CONTRACTOR (Signature) ENGINEER (Signature) OWNER (Signature) <br /> Date : Date : Date : <br /> 00942 - Change Order Form REV 04-07.doc <br /> 00942 - 1 <br /> F:\Public Works\ENGINEERING DIVISION PROJECTS\1131 -IR Blvd Resurfacing 41st St to 53rd St-SEE PROJ 0927\Admim\Contract Documents\00942 - Change Order <br /> Form REV 04mMdoc Rev. 05/01 <br />