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05300530SECTION 00942 - Change Order Form DATE OF ISSUANCE: 11-1-16 No. 1 - FINAL EFFECTIVE DATE: 11-1-16 OWNER: Indian River County CONTRACTOR: Timothy Rose Contracting, Inc. Project: 201 Avenue & 169' Street Intersection Improvements OWNER's Project No. 0225 ENGINEER's Bid No. 2015037 You are directed to make the following changes in the Contract Documents: The project is complete. This change order is intended to make final adjustments to bid items and contract time as follows: Increase contract time based on Work Change Directives - additional contract time added: 1. Work Change Directive 2 - 19 days 2. Work Change Directive 4 - 67 days 3. Work Change Directive 5 - 14 days 4. Work Change Directive 6 - 7 days 5. Work Change Directive 7 — 119 days (Water Main Repair) Total Increase in Contract Time = 226 days Attachments: 1. Description of Itemized Changes 2. Work Change Directives 1 through 7 CHANGE IN CONTRACT PRICE: Description Amount Original Contract Price $1,112,457.78 Net (decrease) of this Change Order: ($41,545.30) Contract Price with all approved Change Orders: $1,070,912.48 ACCEPTED: By: r: CONTRACTOR (Signature) Date: 10 . RECOMME CHANGE IN CONTRACT TIMES Description Time Original Contract Time: (days or dates) Substantial Completion: 90 days 1-4-16 Final Completion: 120 days 2-3-16 Net increase (decrease) this Change Order: (days or dates) Substantial Completion: 226 days Final Completion-, 226 days Contract Time with all approved Change Orders: (days or dates) Substantial Completion: 316 8-17-16 Final Completion: 346 9-16-16 Date: /0 - I'S —1 G APPROVED: By: OWNER (Signature) Date: 00942 - Final Change Order 00942-1 F:1Public W0*51ENGINEERING DIVISION PROJECTS10226 20th Ave and 16th St Inlersedion IrmrovemenllAdmimlChange Orders%OM2 - Final Change Order.doc Rev. 05101 96