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IrIf <br /> II ' if y le <br /> 8 3 ,� va s °} IfIr <br /> a <br /> f If <br /> -- , ,, <br /> qq <br /> SECTION 00942 - Change Order Form <br /> No . <br /> DATE OF ISSUANCE : EFFECTIVE DATE : <br /> OWNER : Indian River County <br /> CONTRACTOR <br /> Bid No . 2012032 <br /> Project : 66 Avenue Roadway Improvements — Phase 2 (4`h Street to 16`h Street ) <br /> Project No . 9810 - B <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 /> ,x <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 Com letion : <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 /> F :\Public Works\ENGINEERING DIVISION PROJECTS\981013-66th Ave Ph 2 4th St to 16th St\Admim\bid documents\00942 - Change Order Form REV 04-07 .doc <br /> Rev. 05/01 <br /> If I If f <br /> If <br /> IrifJ <br /> t. . . . , . . , . , . . . .. <br />