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SECTION 00942 - Change Order Form No. 1 DATE OF ISSUANCE: August 31, 2016 EFFECTIVE DATE: OWNER: Indian River County CONTRACTOR Harn R/O Systems, Inc. Project: N. Hobart WTP Membrane Replacement OWNER'S Bid No. 2016025 You are directed to make the following changes in the Contract Documents: Description: Task 1 — purchase of additional spares for membrane replacement Task 2 — instrumentation upgrades to NF trains to meet DOW monitoring requirements Reason for Change Order: Comply with DOW membrane warranty requirements for monitoring membrane performance Attachments: (List documents supporting change) — change order backup for materials and labor for Task 1 (spare parts) and Task 2 (instrumentation) CHANGE IN CONTRACT PRICE: Time Description _ Amount Original Contract Price $1,041,629.00 Net Increase (Decrease) $0.00 from previous Change 0 Orders No. (days) Contract Price prior to this $ 1,041.629.00 Change Order: 210 Net increase (decrease) of $_90,007.58 this Change Order: (days or dates) Contract Price with all $ 1.131.636.58 approved Change Orders: 210 ACCEPY'ED: By: ?MTRACTOR (Signature) Date: 1�9 —7—A/ Attachment 1 CHANGE IN CONTRACT TIMES Description Time Original Contract Time: (days or dates) Substantial Completion: 180 Final Completion: 210 Net change from previous Change 0 Orders No.: (days) Substantial Completion: 180 Final Completion: 210 Contract Time prior to this Change Order: (days or dates) Substantial Completion: 180 Final Completion: 210 Net increase (decrease) this 60 Change Order: (days or dates) Substantial Completion: Final Completion: Contract Time with all approved Change Orders: (days or dates) Substantial Completion: 280 C9 Final Completion: :M `,', -)w RECOMMENDED: By:. EN (NEER (Signature) Date: 8/31/2016 00942-1 APPROVED: By: OWNER (Signature) Date: COA.docx 77