Laserfiche WebLink
SECTION 00942 - Change Order Form <br /> No . <br /> DATE OF ISSUANCE : EFFECTIVE DATE : <br /> OWNER : Indian River County <br /> CONTRACTOR <br /> Bid No . 2013008 <br /> Project . 66th Avenue Roadway Improvements (S . R. 60 to North of 49th Street) <br /> OWNER's Project No . 0545 & 0370 <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 Completion : <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 /> R\Public Worka\ENGINEERING DMSION PROJECTS\0545,66Th Ave SR60 to 57th St (Arcadls)Wdmim\Bid Documents\00942 = Change Order Form REV 0"Tdoc Rev. <br /> 05/01 <br /> i <br />