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SECTION 00942 - Change Order Form <br />DATE OF ISSUANCE: <br />OWNER: Indian River County <br />CONTRACTOR <br />No. <br />EFFECTIVE DATE: <br />Project: 8th Street Sidewalk from 18th Court to Old Dixie Hwy. <br />Bid No. 2010019 ENGINEER's Contract No. 0455 <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: <br />Description <br />Amount <br />Original Contract Price <br />$ <br />Net Increase (Decrease) from <br />$ <br />previous Change Orders No. <br />to <br />Contract Price prior to this <br />$ <br />Change Order: <br />Net increase (decrease) of this <br />$ <br />Change Order: <br />Contract Price with all approved <br />$ <br />Change Orders: <br />ACCEPTED: <br />By: <br />CONTRACTOR (Signature) <br />Date: <br />CHANGE IN CONTRACT TIMES <br />Description <br />Time <br />Original Contract Time: <br />(days or dates) <br />Substantial Completion: <br />Final Completion: <br />Net change from previous Change <br />Orders No. to <br />(days) <br />Substantial Completion: <br />Final Completion: <br />Contract Time prior to this Change <br />Order: <br />(days or dates) <br />Substantial Completion: <br />Final Com letion: <br />Net increase (decrease) this <br />Change Order: <br />(days or dates) <br />Substantial Completion: <br />Final Completion: <br />Contract Time with all approved <br />Change Orders: <br />(days or dates) <br />Substantial Completion: <br />Final Completion: <br />RECOMMENDED: <br />By: <br />ENGINEER (Signature) <br />Date: <br />APPROVED: <br />By: <br />OWNER <br />Date: <br />00942 - Change Order Form.doc <br />00942-1 <br />FAPublic Works\ENGINEERING DIVISION PROJECTS\0455-8th Street Sidewalk Improvements 18th Ct to Old DlxieWdmim\bid documents\00942 - Change Order Form.doc <br />Rev. 05/01 <br />