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➢ F' 1 'tZYF wA't t% ,� ,. a E . p ,. s x+.a. ° 3 S !. . v u N ...US ' : <br />. ° "nr r;a$LL5 . <br /> �> ..,. <br /> SECTION 00942 - Change Order Form <br /> No , <br /> DATE OF ISSUANCE : EFFECTIVE DATE :. <br /> OWNER : Indian River County <br /> CONTRACTOR <br /> Bid No . 2012036 <br /> Project : Oslo Road Phase III Roadway Improvements ( 58th Avenue to 43rd Avenue ) <br /> OWNER ' s Project No , 0517 <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 : 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 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 /> 00942 - Change Order Form REV 04-07 . doc <br /> 00942 - 1 <br /> F :\Public Works\ENGINEERING DIVISION PROJECTS\0517-OSLO ROAD_43rd Ave to 58th Ave-Phase III\Admim\bid documents\00942 - Change Order Form REV 04-07 <br />. doc <br /> Rev . 05101 <br /> a , <br /> ,.., . a <br /> w . ,i „ , _ . . . z <br /> L, . , . . a .. <br />