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SECTION 00942 - Change Order Form <br /> No. 1 <br /> DATE OF ISSUANCE: 1-6-15 EFFECTIVE DATE: 1-06-15 <br /> OWNER: Indian River County <br /> CONTRACTOR Timothy Rose Contracting, Inc. <br /> Bid No. 2012036 <br /> Project: Oslo Road Phase III Roadway Improvements (58th Avenue to 43rd Avenue) <br /> OWNER's Project No. 0517 <br /> ENGINEER Indian River County <br /> You are directed to make the following changes in the Contract Documents: <br /> Reason for Change Order: <br /> To make final adjustments to bid line items for final payment. <br /> Attachments: <br /> Letter from Timothy Rose Contracting, Inc. dated 11-24-14 explaining additional days to <br /> contract. <br /> Description of itemized bid schedule changes. <br /> CHANGE IN CONTRACT CHANGE IN CONTRACT TIMES <br /> PRICE: <br /> Description Amount Description Time <br /> Original Contract Price 3_,812,202.37 Original Contract Time: (days or dates) <br /> Substantial Completion: 330 6-26-13 <br /> Final Completion: 360 7-27-13 <br /> Net decrease of this Change $81,002.18 Net increase this Change Order: <br /> Order: Substantial Completion: (days) <br /> Final Completion: 439 <br /> 439 <br /> Contract Price with all approved $3,723,146.44 Contract Time with all approved <br /> Change Orders: Change Orders: (days or dates) <br /> Substantial Completion: 769 9-24-14 <br /> Final Completion: 799 10-24-14 <br /> ACCEPTED: RECOMMENDED: APPROVED: <br /> By: By: By: <br /> CONTRACTOR (Signature) ENGINEER (Signature) OWNER (Signature) <br /> Date: Date: Date: <br /> 00942-Change Order Form REV 04-07(2) <br /> 00942-1 39 <br /> F:\Public Works\ENGINEERING DIVISION PROJECTS\0517-OSLO ROAD-43rd Ave to 58th Ave-Phase lll\Admim\agenda items\00942-Change Order Form REV 04-07 <br /> (2).doc Rev.05/01 <br />