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a <br /> 2, I <br /> Change Order Form aDio �a'Z <br /> No . 2 <br /> DATE OF ISSUANCE : EFFECTIVE DATE: 09 2/ 10 <br /> OWNER : Indian River County <br /> CONTRACTOR Timothy Rose Contracting Inc <br /> Contract: <br /> Project: N WTP Raw Water Transmission System <br /> OWNER' s Contract No . UCP 2422 ENGINEER's Contract No. <br /> ENGINEER PBS &J <br /> You are directed to make the following changes in the Contract Documents : <br /> Description , <br /> Miscellaneous Contract Additions & Deletions <br /> Reason for Change Order: <br /> Materials & Scope Of Work Adjustments <br /> Attachments : ( List documents supporting change) <br /> TRC — Requested Change Order Breakdown <br /> CHANGE IN CONTRACT CHANGE IN CONTRACT TIMES <br /> PRICE: <br /> Description Amount Description Time <br /> Original Contract Price $2, 382 , 873 . 43 Original Contract Time : (days or dates) <br /> Substantial Completion : 240 <br /> Final Completion : 270 <br /> Net increase ( Decrease) from $ 161 . 172 . 77 Net change from previous Change <br /> previous Change Orders No . 1 Orders No . 4 to 1. (days) <br /> to 1 : Substantial Completion : 0 <br /> Final Completion : 0 <br /> Contract Price prior to this $2 , 524 , 046 . 20 1 Contract Time prior to this Change <br /> Change Order: Order: (days or dates) <br /> Substantial Completion : 240 <br /> Final Completion : 270 <br /> Net Increase (decrease) of this $34 . 386 . 91 Net Increase (decrease) this <br /> Change Order: Change Order: (days or dates) <br /> Substantial Completion : 40 <br /> Final Completion : 40 <br /> Contract Price with all approved $2 . 558 , 413 . 11 Contract Time with all approved <br /> Change Orders : Change Orders : (days or dates) <br /> Substantial Completion ; 280 <br /> Final Completion : 1 310 <br /> ACCEPTE RECOMMENDED : APPROVED : <br /> By: <br /> By : R71. c <br /> CONTRACTOR (Signature) ENGINE EXSkjr ature) OWNER Peter D . 0 Bryan , <br /> Date : 11 Z2ljQ ' too,-s <br /> ° <br /> QO • . n <br /> 6 • • a <br /> n e a <br /> Change Order Form a° l, <br /> oo <br /> ••° • •°° �.°° <br /> C:�Damrnsnts and Set innskHP AdminlstratoAMv 0ocuman1z%Rachu1XN. WTP Raw Water Trans 5vstemSChanne Order Form 2.doc Rev. 05101 °0��Oro°q�„°pCo�00 <br /> °•°° <br />