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SECTION 00942 - Change Order Form <br />No.1 <br />DATE OF ISSUANCE: 3/1/2016 EFFECTIVE DATE:3/1/2016 <br />OWNER: Indian River County <br />CONTRACTOR Qickerson Florida. Inc. <br />Project: Vgrglakq EstMes Asphalt Minim Prolect [Phase Il <br />Project No. 1314 <br />Bid No. 2015010 <br />You are directed to make the following changes in the Contract Documents: <br />Reason for Change Order. <br />The project Is complete. This change order is Intended to make final adjustments to line <br />Items In order to finalize the contract and release retainage to the Contractor. <br />Attachments: (List documents supporting change) <br />Description of Itemized Changes <br />CHANGE IN CONTRACT PRICE: <br />Descri <br />Amount <br />Original Contract Price <br />$712.600.00 <br />Net increase of this Change Order <br />$58,426.25 <br />Contract Price with all approved <br />Change Orders: <br />$T71.026.25 <br />Date: <br />CHANGE IN CONTRACT TIMES <br />Description <br />Time <br />Original Contract Time. <br />(days or dates) <br />Substantial Completion: <br />120 <br />Final Completion: <br />150 <br />Net increase (decrease) this <br />Change Order <br />(days or dates) <br />Substantial Completion: <br />Q <br />Final Completion: <br />0 <br />Contract Time with all approved <br />Change Orders: <br />(days or dates) <br />Substantial Completion: <br />12Q <br />Final Completion: 1 <br />150 <br />RECOMMENDED: <br />By: <br />/S//6 <br />By: <br />Date: <br />00942 - Charge OnW No 13-1-2018 <br />00942-1 <br />F-1PRNe VlakODMWERt10 DiJMM PRCWCM13WI DM An LVt4L_9M31 to 90h S9AMnttHpmda kmu hwW O MO 00-ChWW Qdo Wo 111- <br />9D19.d0e ftw DSM <br />72 <br />