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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 Fairgrounds Phase 2 <br /> Overflow and Vehicular Staging for Events of Fairgrounds <br /> OWNER ' s Project No . 1047-2 ENGINEER ' s Bid No , 2012028 <br /> ENGINEER <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 /> IF Tublic Works\ENGINEER ING DIVISION PROJECTS\ 1047-2 IRC Fairgrounds Overflow & Vehicular Staging Phase 2\Admim\bid documents\00942 - Change Order <br /> Form <br /> REV 04-07 . doc Rev. 05/01 <br />