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® M Pam--M—of 1 <br />CONTRACT CHANGE ORDER <br />CHANGE ORDER NO. 1 ORIGINAL CONTRACT PRICE 39,978.00 <br />REVISED CONTRACT PRICE 42.5o3.00 <br />DATE: ted Water Stnrage Tank <br />JOB NAME Re air and Re ai tin o <br />OWNER: <br />ITEM <br />DESCRIPTION <br />Repairs <br />UNIT <br />PRICE <br />ORIGINAL <br />UNITS <br />LS <br />PREVIOUS <br />TOTAL <br />PRICE <br />100.00 <br />UNIT <br />CHANGE <br />None <br />PRICE <br />CHANGE <br />None <br />REVISED <br />TOTAL <br />PRICE <br />100.00 <br />1 <br />2 <br />Prepare & Paint Tank <br />Date: <br />LS <br />39,878.00 <br />None <br />None <br />39,878.00 <br />Date: Z /.V 1, <br />Interior & Exterior <br />Si el Masteller, Lorenz <br />--&-Hoover, Inc. <br />Owner: <br />/ G <br />Date: <br />3 <br />Grinding of weld burrs, <br />LS <br />N/A <br />N/A <br />LS <br />(+)2,300.00 <br />W2,300-00 <br />ragged welds and all <br />e' and le.oal suff iency <br />BY <br />s <br />E <br />AN CE P) T 0 <br />By _ — <br />sharp edges which wil <br />DIRFCTOR <br />r Charles P. Vitunac k4 , <br />w <br />DIY. OF <br />UTILITY SERVICES <br />County Attorney <br />�a^.�.,..;.,a,z,.,:,.. .---�--:- <br />ya'c <br />784 <br />otherwise not permit <br />paint to adhere prop- <br />erly. <br />- <br />4 <br />Furnish and install <br />LS <br />N/A <br />N/A <br />LS <br />(+) 200.00 <br />(+) 200.0 <br />top brackets for <br />ladder of tank bowl <br />interior. <br />5 <br />Furnish and install <br />LS <br />N/A <br />N/A <br />LS <br />(+) 25.00 <br />(+) 25.00 <br />cover plates for all <br />conduit junction <br />boxes. <br />TOTALS .............. <br />...... <br />...... <br />.39,978.00. <br />....... <br />2,525,00... <br />42,503-00 <br />The amount of the Contract will be increased by the sum of two thousand, <br />five hundred twenty-five and xx/100's dollars ($2,525.00). <br />The Contract total, including this Change Order, will be forty-two thousand, <br />five hundred three and xx/100's dollars ($42,503.00). <br />The <br />Contract period provided <br />for completion will be increased by (7) seven <br />days. <br />This document will become supplement to the Contract and all provisions will <br />apply hereto. <br />Contractor: <br />�"n�'i1 <br />Date: <br />Hi -L ne Contractors Inc. <br />Engineer: <br />Date: Z /.V 1, <br />Si el Masteller, Lorenz <br />--&-Hoover, Inc. <br />Owner: <br />/ G <br />Date: <br />* Indian River County <br />APPROVE <br />TILITY MATT Et�S <br />r' Approved as to form ; <br />e' and le.oal suff iency <br />BY <br />s <br />E <br />AN CE P) T 0 <br />By _ — <br />DIRFCTOR <br />r Charles P. Vitunac k4 , <br />w <br />DIY. OF <br />UTILITY SERVICES <br />County Attorney <br />�a^.�.,..;.,a,z,.,:,.. .---�--:- <br />ya'c <br />784 <br />BOOK 63 PAGE <br />