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i <br /> 't <br /> SECTION 00942 -Change Order Form <br /> No. 1 <br /> I <br /> i <br /> DATE OF ISSUANCE: August 31, 2016 EFFECTIVE DATE: nrtoher 1R, ?n1r, <br /> iI <br /> OWNER: Indian River Countv <br /> CONTRACTOR Ham R/O Systems. Inc. j <br /> Project: N. Hobart WTP Membrane Replacement <br /> OWNER'S Bid No. 2016025 <br /> I <br /> You are directed to make the following changes in the Contract Documents: <br /> Description: Task 1 —purchase of additional spares for membrane replacement <br /> Task 2—instrumentation upgrades to NF trains to meet DOW monitoring <br /> requirements <br /> Reason for Change Order: Comply with DOW membrane warranty requirements for <br /> monitoring membrane performance <br /> Attachments: (List documents supporting change)—change order backup for materials and <br /> labor for Task 1 (spare parts) and Task 2 (instrumentation) <br /> CHANGE IN CONTRACT CHANGE IN CONTRACT TIMES <br /> PRICE: <br /> Description Amount Description Time <br /> Original Contract Price $1,041,629.00 Original Contract Time: (days or dates) <br /> Substantial Completion. 180 <br /> Final Completion: 210 <br /> Net Increase(Decrease) $0.00 Net change from previous Change 0 <br /> from previous Change Orders No. . (days) <br /> Orders No. Substantial Completion: 180 <br /> Final Completion. 210 <br /> Contract Price prior to this $ 1.041.629.00 Contract Time prior to this Change <br /> Change Order: Order: (days or dates) <br /> Substantial Completion: 180 <br /> Final Completion: 210 <br /> Net increase(decrease)of $90.007.58 Net increase(decrease)this 60 <br /> this Change Order: Change Order: (days or dates) <br /> Substantial Completion: <br /> Final Completion: <br /> Contract Price with all $1.131,636.58 Contract Time with all approved <br /> approved Change Orders: Change Orders: (days or dates) j <br /> Substantial Completion: �6- h`;+C9 �\M�SSIO�IEgs.�, <br /> Final Completion: -24-a ,,�I® _ ..•,K�� <br /> ACC EP D. RECOMMENDED, APPROVED, e� •�Q: <br /> :o: <br /> By: ti Z B Y:7. , By <br /> C RACTOR(Signature) EN (NEER(Signature) OWNER(Signature) t �'`��:�• <br /> Bob Solari, Chairman <br /> Date: %0 —7—�� Date: 8/31/2016 Date: 10118116 "' •a;... ... .••' <br /> i <br /> ATTEST: Jeffrey?,- <br /> Smith, Cle of <br /> Cou d Comptr <br /> BY: <br /> 00942-1 t Clerk f <br /> i <br />