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SECTION 00942 - Change Order Form DATE OF ISSUANCE: June 21, 2016 No. 1 - FINAL EFFECTIVE DATE: June 21, 2016 OWNER: Indian River County CONTRACTOR Guettler Brothers Construction, LLC Project: Aviation Boulevard/20th Avenue Intersection Improvements OWNER's Project No. 1422 ENGINEER's Bid No. 2014049 You are directed to make the following changes in the Contract Documents: Description: The project is complete. This change order is intended to make final adjustments to bid line items and contract time in order to make final payment and release of retainage to the Contractor. Reason for Change Order. Final Change Order and release of retainage. Attachments: (List documents supporting change) 1. Description of itemized Changes 2. Work change Directives 1, 2, 3, 4, 5 CHANGE IN CONTRACT PRICE: Description Amount Original Contract Price $586,068.00 Net decrease of this Change Order: ($55,958.62) Contract Price with all approved Change Orders: $530,109.38 ACCEPTED: By: gf26�� CONTRACTOR (Si ature) Date: (,je J 1�- CHANGE IN CONTRACT TIMES -Description Time Original Contract Time: Substantial Completion: (days or dates) 180 days / 1-8-16 210 davs / 2-7-16 Final Completion: Net increase this Change Order. Substantial Completion: 60 days Final Completion: 60 days Contract Time with all approved Change Orders: Substantial Completion: (days or dates) 240 days / 3-8-16 270 da / 4-7-16 Final Completion: 1 RECOMMENDED: By: j� ENGINEER (Signature) Date: 6 1 Z 8 Ll G APPROVED: By: OWNER (Signatu Date: 00942-1 00942 - Change Order No. t - FINAL FSPLMC worUTNGINEERING DMSION PROJECTSt1422 AvleUon BhKI.2Mh Avenue bdmecoon Improveffmo%Admhf Change OrdergOM2 - Charge Order No. 1 - FiNAL.doc Rev. 05101 105 I