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SECTION 00942 - Change Order Form <br />No. 4 <br />DATE OF ISSUANCE: 03/01/2016 EFFECTIVE DATE: 03/01/2016 <br />OWNER: Indian River County <br />CONTRACTOR TIMOTHY ROSE CONTRACTING, INC. <br />Project: Martin Luther King Walking Trail <br />OWNER's Project No. 1413 <br />OWNER'S Bid No. 2015034 <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 amount and release retainage to the Contractor. <br />Attachments: <br />Description of Itemized Changes <br />CHANGE IN CONTRACT PRICE: <br />Description <br />Amount <br />Original Contract Price <br />$128.723.60 <br />Net Increase from previous <br />Change Order Nos. 1, 2 and 3: <br />$189.586.57 <br />Contract Price prior to this Change <br />Order. <br />$318.310.17 <br />Net decrease of this Change <br />Order. <br />$(5.863.05) <br />Contract Price with all approved <br />Change Orders: <br />$312,447.12 <br />ACCEPTED: <br />CONTRACTOR (Signature) <br />Date: Z- - i • r <br />CHANGE IN CONTRACT TIMES <br />Description ' <br />Time <br />Original Contract Time: <br />(days or dates) <br />Substantial Completion: <br />90 (9/10/2015) <br />Final Completion: <br />120 10/10/2015 <br />Net change from, previous Change <br />Orders Nos. 1 and 2: <br />(days) <br />Substantial Completion: <br />90 <br />Final Completion: <br />90 <br />Contract Time prior to this Change <br />Order: <br />(days or dates) <br />Substantial Completion: <br />180 <br />Final Completion: <br />210 <br />Net change for this Change Order: <br />(days or dates) <br />Substantial Completion: <br />0 <br />Final Completion: <br />0 <br />Contract Time with all approved <br />Change Orders: <br />(days or dates) <br />Substantial Completion: <br />180 (12/9/2015) <br />Final Completion: 1 <br />210(1/922161 1 <br />RECOMMENDED: <br />By: 104941 <br />ENGINEER (Sig ature) <br />Date:td 6 <br />APPROVED: <br />By: <br />OWNER (Signature) <br />Date: <br />00942 - Change Order No. 4 2-9-2016 <br />00942-1 <br />FAPublic Woft%ENGINEERING OMSION PROJECTS%1413-Martin Luther " Walking TraiNAdminlagenda items\Change Order 54100942 - Change Order No. 4 2-9- <br />2016.doc Rev. M01 82 <br />