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.- <br />F SECTION M <br />CONTRACT CHANGE ORDER FORM <br />Contract No. Date <br />Change Order No. 4 Location _Indian River County Florida <br />To: (Contractor) Ortega Industrial Contractors <br />You are hereby requested to comply with the following changes from the contract drawings & specification <br />Item <br />No. <br />Description of Changes — Quantities, Units, Unit Prices, <br />Change in Completion Schedule, Etc. <br />Decrease in <br />Contract Price <br />Increase in <br />Contract Pric <br />1 <br />2 <br />3 <br />4 <br />total <br />adjusted <br />contract price to date <br />thereby <br />(1) <br />Change Date of Completion from December 5, 1983 <br />N/A <br />N/A <br />to January 4, 1984. <br />(See Attachment) <br />Change in contract price due to this Change Order: <br />' <br />Total Decrease <br />Total Increase <br />Difference between Col. (3) and (4): <br />Net (increase) (decrease) contract price <br />$ <br />xxxxxxxxxxx <br />xxxxxxxxxxx <br />$ <br />$ <br />$ <br />$ NLA <br />$ N/Q <br />The <br />sum <br />of S <br />0 is <br />hereby <br />added <br />to, deducted from, the total contract price, ar <br />the <br />total <br />adjusted <br />contract price to date <br />thereby <br />is S <br />681,020.50 <br />The time provided for completion in the contract isXtARRkki)SeA increased, ) XXNWXO, by 'in <br />calendar days. This document shall become an amendment to the contract and all provisions of ti <br />contract will apply hereto. <br />Accepted by: <br />Recommended by: <br />J l:rtgj�ccr <br />Requested by: <br />NOTE: Work performed under this change order prior to <br />rid-. <br />ATTACHMENT "A" <br />//-6- F3 <br />Date <br />Date <br />'Date <br />Owner's concurrence is at the Contracto <br />JUSTIFICATION OF CHANGE ORDER NO. 4 <br />South Beach Water -System <br />Improvements - Phase I <br />Indian River County, Florida <br />135 <br />NOV 16 1983 <br />6C171f 155 PA ( 4 <br />