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v ler <br /> SECTION 00942 - Change Order Form <br /> No . <br /> DATE OF ISSUANCE : EFFECTIVE DATE : <br /> OWNER : Indian River Countv <br /> CONTRACTOR <br /> Project : Old Dixie Highway Sidewalk Improvements from 38th Lane to 65th Street <br /> Bid No . 2011045 <br /> Project No . 0845 <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 /> 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 previTn <br /> ange <br /> previous Change Orders No . Orders No . to ( days ) <br /> to Substantial tion : <br /> Final tion : <br /> Contract Price prior to this $ Contract Time prior to nge <br /> Change Order : Order : (days or dates ) <br /> Substantial tion : <br /> Final tion : <br /> Net increase (decrease ) of this $ Net increase (decreaseChange Order : Change Order: (day <br />s or dates )Substantial tion :Final tion :Contract Price with aapproved $ Contract Time with all ad <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 : <br /> Date : <br /> 42 - 2 00942 - Change Order Form REV 04-07 . doc <br /> FAPublic Works\ENGINEERING DIVISION PROJECTS\0845-Old Dixie Hwy Sidewalk US1 69th ( LAP)\Admim\bid <br /> documents\00942 - Change Order Form REV 04-07 . doc <br />