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2016-132A
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2016-132A
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Last modified
10/17/2016 10:45:45 AM
Creation date
10/17/2016 10:45:14 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/13/2016
Control Number
2016-132A
Agenda Item Number
8.L.
Entity Name
Guettler Brothers Construction
Subject
South County Park Gereral Use Field
Area
South County Park
Project Number
1425
Bid Number
2016048
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SECTION 00942 - Change Order Form <br /> No. <br /> DATE OF ISSUANCE: EFFECTIVE DATE: <br /> OWNER: Indian River County <br /> CONTRACTOR <br /> Project: SOUTH COUNTY PARK GENERAL USE FIELD <br /> OWNER's Project No. 1425 OWNER'S Bid No. 2106048 <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 previous Change <br /> previous Change Orders No. Orders No to (days) <br /> to Substantial Completion: <br /> Final Completion: <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 Completion. <br /> Contract Price with all approved $ Contract Time with all approved <br /> Change Orders: Change Orders (days or dates) <br /> Substantial Completion <br /> Final Completion. <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 <br /> 00942-1 <br /> F-Tublic WorksIENGINEERING DNISION PROJECTS\1425 S County Park-General Use FieldWdmintbid documentsWlaster Contract Documents\00942-Change Order <br /> Form REV 04-07.doc Rev.05101 <br />
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