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SECTION 00942 -Change Order Form <br /> No. 01 <br /> DATE OF ISSUANCE: l01 13 EFFECTIVE DATE: <br /> OWNER: Indian River County <br /> CONTRACTOR R.J. Sullivan Corporation <br /> Project: RO Plants Lime Slurry Injection <br /> Project No. UCP 2715 <br /> Bid No. 2013028 <br /> You are directed to make the following changes in the Contract Documents: <br /> Description: <br /> Replace failing bulk acid storage tank at South RO plant, including transfer piping, and <br /> containment coating <br /> Reason for Change Order: <br /> Emergency replacement of failing acid tank <br /> Attachments: (List documents supporting change) <br /> See Price proposal from RJ Sullivan, including breakdown of costs. <br /> CHANGE IN CONTRACT CHANGE IN CONTRACT TIMES <br /> PRICE: <br /> Description Amount Description Time <br /> Original Contract Price Original Contract Time: (days or dates) <br /> $2.549.000.00 Substantial Completion: 210 <br /> Final Completion: 240 <br /> Net Increase(Decrease) $0.00 Net change from previous Change <br /> from previous Change Orders No.0 to 0: (days) <br /> Orders No. 0 to 0: Substantial Completion: 0 <br /> Final Completion: 0 <br /> Contract Price prior to this $2.549.000.00 Contract Time prior to this Change <br /> Change Order: Order: (days or dates) <br /> Substantial Completion: 210 <br /> Final Completion: 24 <br /> Net increase (decrease)of $189,527.00 Net increase (decrease) this <br /> this Change Order: Change Order: (days or dates) <br /> Substantial Completion: 2Q <br /> Final Completion, 20 <br /> Contract Price with all $2,738,527.00 Contract Time with all approved <br /> approved Change Orders: Change Orders: (days or dates) <br /> Substantial Completion: 230 <br /> Final Completion- 260 <br /> ACCEPTED: RECOMMENDED: APP VED: <br /> RJ Sullivan Corp. Kimley-Hqm an c Inc' India I Utilitie <br /> By: By: 5By: <br /> CONTRACTOR (Signature) ENGINEER (Signature) OWN R <br /> Date: Date:9/30/2013 Date: t0 p <br /> 00942-Change Order Form.doc <br /> 00942-1 <br /> KUPS Civi110445720Z2-IRCU BtehlltntionlConstrudionlChenge Order=42-ChenN Order Fonn.doo Rev.M1 <br /> 175 <br />