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SECTION 00942 - Change Order Form <br />4/oV/•Q iy4ori, Jib <br />No, 01 <br />DATE OF ISSUANCE <br />EFFECTIVE DATE. <br />OWNER: Indian River County <br />CONTRACTOR ,R,J,._Sayan _Corporation Engineer Atkins <br />Project: WESTREGIONAL WWTP ANAEROBIC. TANKS ODOR CONTROL SYSTEM DESIGN <br />Project No. UCP .4067 <br />Bid No. 2013013 <br />You are directed to make the following changes in the Contract Documents: <br />Description: <br />See attached Itemized list for the description, <br />Reason for Change Order <br />See attached Itemized description list for the justification: <br />Attachments: (List documents supporting change) <br />See attached Itemized description list for the supporting documents <br />CHANGE IN <br />PRICE: <br />CONTRACT <br />Description_ _ -- ---_____ <br />Description �____ <br />Amount <br />Original <br />Contract <br />Price <br />$12015.000 <br />00 <br />Net <br />previous <br />Increase (Decrease) <br />Change <br />to <br />from <br />Orders No <br />$D <br />(days) <br />0 <br />0 <br />Contract Price prior to this <br />Change Order: <br />$1,015,000,00 <br />(days or dates) <br />240 <br />270. <br />Net increase <br />Change Order <br />(decrease) <br />Substantial <br />Final <br />this <br />Completion: <br />Completion: <br />Net increase (decrease) of <br />this Change Order: <br />$'1441.180.97) <br />Contract Price <br />approved Change <br />with all <br />Orders: <br />Time <br />$8701819,03 <br />(days <br />330 <br />or dates) <br />ACCEPTED: <br />B <br />COfRACTOR (Signature) <br />Date: 71/,‘ <br />CHANGE IN CONTRACT TIMES <br />Description_ _ -- ---_____ <br />Time <br />Original Contract Time: <br />Substantial Completion: <br />Final Completion: <br />(days <br />270 <br />or dates) <br />Net change <br />Orders No. <br />from previous Change <br />to . : <br />(days) <br />0 <br />0 <br />Substantial Completion: <br />Final Completion: <br />Contract Time prior to this Change <br />Order: <br />Substantial Completion: <br />Final Completion: <br />(days or dates) <br />240 <br />270. <br />Net increase <br />Change Order <br />(decrease) <br />Substantial <br />Final <br />this <br />Completion: <br />Completion: <br />(days <br />99. <br />or dates) <br />i <br />Contract <br />Change Orders: <br />Time <br />with all approved <br />Substantial Completion: <br />Final Completion: <br />(days <br />330 <br />or dates) <br />RECOMMENDED <br />Raj , P g. (Atkins) <br />By: <br />ENGINEER (Signature) <br />Date: January 10, 2014 <br />00942 - 1 <br />O NER (Signature) <br />Peter D. O' Bryan, ,0 <br />Date:or <br />- . •' <br />*:. <br />• <br />ii <br />Change Order No 1 Form withodWTyra <br />