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i <br /> SECTION 00942 -Change Order Form <br /> No. <br /> DATE OF ISSUANCE:. EFFECTIVE-DATE: <br /> OWNER: Indian River County <br /> CONTRACTOR- <br /> Project, I.R.C. Go,Line Transfer Hub <br /> OWNER's,Project No. 1330. OWNER'$ Bid No. 2016019. <br /> You are directed'to make the,following changes in the,Contract.Documents: <br /> Description: <br /> Reason for Change Order: <br /> Attachments: (List documents supporting change) <br /> CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIMES <br /> Description' Amount Description Time <br /> Original.Contract Price, $' Original Contract Time:. (days"or dates) <br /> Substantial Completion: <br /> Final.Completion* <br /> Net Increase(Decrease)from $ 'Net-change from preyious:Change <br /> previous Change Orders No. Orders N_ o. to (days) <br /> to Subst_antial'Completion <br /> Final:Com letion: <br /> Contract Price prior to this $ Contract Time,prior to:this Change. <br /> Change Order:; Order:; (days or,dates) <br /> Substantial.Completion <br /> Final Completion:; _ <br /> Net_increase(decrease)of this $: ',Net increase(decrease)this, <br /> Change;Order. ;Change_Order: .(days or dates), <br /> Substantial.Completion: <br /> Final Com letion: <br /> Contract Price with all.approv,_ed $` Contract Tiinevith all approved, <br /> Change.Orders_; Change Orders: (day_s or dates) <br /> .'Substantial Completion: <br /> Final Com letion: <br /> .ACCEPTED: RECOMMENDED., APPROVED:-, <br /> CONTRACTOR(Signature) ENGINEER(Signature) OWNER;.(Sigriature) <br /> Date:'. Date: Rafe: <br /> 00942-,Change Ordet:F9rm REV-04-.07 <br /> 00942-.-1' <br /> F:1Public Wor ENGWEERING DNISION P.ROJECTS1133d-i;R.d:.G.Ui e.Transfer HubWdmin%bid documentsWasier 6irtmca 6ocumerital00942--Change.04er Dann_R_6 <br /> .64-pT.idoc Re6.05161 <br /> i <br /> i <br />