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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 /> Bid No . 2012037 <br /> Project : Miscellaneous Drainage Culvert Replacements <br /> OWNER' s Project No . 1142 <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 /> CHANGE IN CONTRACT PRICE : Feo <br /> CONTRACT TIMES <br /> Description Amount Time <br /> Original Contract Price $ tract Time : ( days or dates) <br /> ubstantial Completion : <br /> Final Completion : <br /> rNetcrease ( Decrease) from $ Net change from previous Change <br /> us 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 /> EEEEEEEEE <br /> 00942 - Change Order Form REV 04-07. doc <br /> 00942 - 1 <br /> F . \Public Works\ENGINEERING DIVISION PROJECTS\1142-Misc Culvert ReplacemenWAdmim\bid documents\00942 - Change Order Form REV 04-07 . doc Rev. 05/01 <br />