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Change Order Form <br /> No . 1 <br /> - _- _ <br /> DATE OF ISSUANCE : 8/ 16/ 11 <br /> EFFECTIVE DATE : 8/16/11 <br /> OWNER: Indian River County <br /> CONTRACTOR Data Flow System Inc \ <br /> Contract : Bid # 2011032 i <br /> Project : IRC Bid no . 2011032 Upgrade and Automation of Reuse Distribution System <br /> OWNER's Contract No . UPC 4065 ENGINEER's ContractNo . NA <br /> ENGINEER NA You are directed to make the following changes in the Contract Documents : <br /> Description : <br /> RTU modification Hawks Nest Station , addition of West RTU , addition of new reuse tank <br /> and upgrade computer work station at Central plant. <br /> Reason for Change Order: <br /> Additional equipment to help automate the system . <br /> Attachments : ( List documents supporting change) <br /> 4- pages from Data Flow System <br /> rIncrease <br /> IN CONTRACT CHANGE IN CONTRACT TIMES <br /> n Amount Descri tion Time <br /> ntract Price $ 109 . 972 . 00 Original Contract Time : ( days or dates) <br /> Substantial Completion : NA <br /> se Decrease Final Completion : NA <br /> ( ) Net change from previous Change <br /> us Change Orders No . to (days } <br /> . 1 to Substantial Completion : NA <br /> Contract Price rior to this Final Com letion :, NA <br /> p $ 109 . 972 .00 Contract Time prior to this Change <br /> Change Order: Order: (days or dates) <br /> Substantial Completion : NA <br /> nChange <br /> crease of Final Completion , NA <br /> (decrease) $16 , 839 . 65 Net Increase (decrease) this <br /> r: Change Order: (days or dates) <br /> Substantial Completion : NA <br /> Final Completion : NA <br /> th all $126 . 811 . 65 Contract Time with all approved <br /> e Orders : Change Orders : (days or dates) <br /> Substantial Completion : NA <br /> Final Com letion : L.NA , <br /> ACCEPT D : RECOMMENDED : APPROVED : <br /> Y 1 , <br /> By: B : By: <br /> CONTRACTOR (Si nature) ENGINEER (Signature) I F OWNER ( nature) <br /> Gary Wheeler Chairm n <br /> Date : �1 /(� /� Date , X 1 1 Date : <br /> BCC Approved : 08 - 16 - 11 <br /> Change Order Form November 16 2011 .doc <br /> 00800 - 30 <br /> C:lUsersldayswMppDatal.ocal\TemplChange Order Form November 16 2011 .doc Rev. 05101 i <br />