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SECTION 00942 - Change Order Form <br /> No . <br /> DATE OF ISSUANCE : EFFECTIVE DATE : <br /> OWNER : Indian River Countv <br /> CONTRACTOR <br /> Bid No . : 2011011 <br /> Project : 53r" Street Roadway Improvements ( IRFWCD Lateral H Canal to Indian River Boulevard ) <br /> Project No . 0107 <br /> ENGINEER Indian River Countv <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 /> 7[D:escriptioon <br /> CONTRACT PRICE : CHANGE IN CONTRACT TIMES <br /> Amount Descri tion Timetract 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 - 1 00942 - Change Order Form REV 04-07 . doc <br /> F :\Engineering\Capital Projects\0107-53rd St , 58th Ave-US # 1 \Contract Documents\00942 - Change Order Form REV 04-07 .doc Rev. 05/01 <br />