Laserfiche WebLink
Van Fleet Water Production Facility Improvements BVP 13-196 <br /> EXHIBIT 12 <br /> CHANGE ORDER <br /> PROJECT: CHANGE ORDER NUMBER: <br /> BVP NO.: CONTRACT NO.: <br /> CONTRACTOR: <br /> POLK COUNTY <br /> BOARD OF COUNTY COMMISSIONERS <br /> BARTOW,FLORIDA 33830 <br /> ARCHITECT/ENGINEER: <br /> DESCRIPTION OF CHANGE ORDER: <br /> Contract is changed as follows: <br /> ARCHITECT/ENGINEER: <br /> Date: Signature <br /> Not valid until signed by the County and Contractor. <br /> Original Contract Sum $ <br /> Net change by previously authorized Change Orders -0- <br /> Contract Sum prior to this Change Order $ <br /> Contract Sum will be increased/decreasediby this Change Order in the amount of $ <br /> New Contract Sum including this Change Order will be $ <br /> Contract Time will be increased by days. <br /> Date of substantial Completion as of the date of this Change Order therefore is <br /> The above changes are accepted by: <br /> CONTRACTOR: Date: <br /> YOU ARE HEREBY AUTHORIZED TO MAKE THE CHANGES NOTED ABOVE: <br /> COUNTY: POLK COUNTY BOARD OF COUNTY COMMISSIONERS <br /> CHAIRMAN <br /> Date: <br /> Reviewed as to form and legal sufficiency: <br /> County Attorney's Office Date <br /> 53 <br /> �1 oL- S3 <br />