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1 <br />(Instructions on reverse side) <br />L l <br />CHANGE ORDER <br />PROJ ECT . Pb... Plan <br />No. ONE (1) <br />DATE OF ISSUANCE ..Nouember..10s.1193... EFFECTIVE DATE .... November. 20,..199.3 <br />OWNER ...... II.14 4144P. PARK. 99Wr Y ......................... <br />OWNER's Contract No. ..L11 -9].-7.4-J ................. <br />CONTRACTOR .A.D.B.-UndergrouncL.Inc. ENGINEER .McQmen.4.A <br />Indian River Go Approved <br />Admin. <br />tinged. • • •. <br />Deft <br />Qudget <br />Original Contract Times <br />Utilities P <br />17- <br />Z'AtIIEe$ <br />'Atm <br />Ready fu i final payment: <br />You are directed to make the following changes in the Contract Documents. <br />Description: Adjustmant to contract quantities as shown on Exhibit A <br />Reason for Change Order. To adjust contract quantities to as -built quantities <br />Attachments: (List documents supporting change) Engineer's and Owner's field inspection measurments <br />CHANGE IN CONTRACT PRICE: <br />CHANGE IN CONTRACT TIMES: <br />Original Contract Price <br />Original Contract Times <br />Substantial Completion: <br />$ _ 194,112.49 <br />Ready fu i final payment: <br />days or tato <br />Net changes from previous Change Orders No. to No. _ <br />Net change from previous Change Orders No. _ to No. <br />$ O <br />Jaya <br />Contract Price prior to this Change Order <br />Contract Times prior to this Change Order <br />194,112.49 <br />Substantial Completion: <br />$ <br />Ready for final payment: <br />day, or Jwa <br />Net Increase (decrease) of this Change Order <br />Net Increase (decrease) of this Change Order <br />$ 35,428.89 <br />days <br />Contract Price with all approved Change Orders <br />Contract Times with all approved Change Orders <br />229, 541.38 <br />Substantial Completion: <br />$ <br />Ready for final payment: <br />days or dates <br />rr.c OdEEN IA55otu(rES tNDtIN t.%Mt Cc uNTy <br />RECOM LADED: APPROVED:-WoARb 0,F CoµnrYy ACCEPTED: P •o- 3 . II"feG.Ra, <br />uN, 'PC. <br />/ r �Cof5�'ioNERS <br />By: By:✓ �Gel� 1�.�� <br />Er4pma (Authorized 3SW�p�u.dtare) Owner IAu J Si1pulum" By. motor IA Siorwitre► <br />�1RM16ct E, ry.cClJFjEIJ, pQtStDENr 1q)GftbPu 1�1, Ij Ie.L, *IRMArJ D'NEA- SArt6, K <br />/ZJr/�Date: E51AFN7 <br />Date: . ,�?- /�/- q 3 Date:, 3 <br />EJCDC No. 1910-8-B (1990 Edition) r <br />Prepared by the Engineers Joint Contract Documents Committee and endorsed by The Associated General Contractors of America. <br />37 <br />Lk 6. -DEC 2 11993 <br />Boa 91 F,,�,t 47 <br />