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SECTION 00942 -Change Order Form <br /> No. <br /> DATE OF ISSUANCE: EFFECTIVE DATE: <br /> OWNER: Indians River County <br /> CONTRACTOR <br /> Project: INDIAN RIVER COUNTY SHOOTING RANGE HUNTER EDUCATION <br /> CLASSROOM <br /> OWNER's Project No. 1213C OWNER'S Bid No. 2017008 <br /> You are directed to make the following changes in the Contract Documents: <br /> Description: <br /> Reason for Change Order: <br /> i <br /> Attachments: (List documents supporting change) <br /> CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIMES <br /> Description Amount Description Time <br /> ------ <br /> Original Price------ ---$--- -- ----- -Ori Original-Contract Time.--------- ---- — <br /> g g -(days or-dates)--- ----- I <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) j <br /> to Substantial Completion: I <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: r <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 /> ! <br /> CONTRACTOR(Signature) ENGINEER (Signature) OWNER (Signature) <br /> Date: Date: Date: <br /> 00942-Change Order Form REV 04-07 <br /> 00942-1 <br /> F'\Public Works\ENGINEERING DIVISION PROJECTS11213C IRC Shooting Range Hunter Eduction ClassroomMminlbld documents\Master Contract Documenls100942- <br /> Change Order Form REV 04-07.doc Rev.05/01 <br />