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SECTION 00942 - Change Order Form No. 1 DATE OF ISSUANCE: March 20, 2018 EFFECTIVE DATE: March 20, 2018 OWNER: Indian River County CONTRACTOR Blue Goose Construction. Project: 424 22nd Street SE Sewer Lateral Replacement OWNER'S Bid No. WA 2018-002 You are directed to make the following changes in the Contract Documents: Description: Deduct watermain relocation from contract. Reason for Change Order: It was anticipated that a 4 -inch watermain may need to be relocated in order to replace the sewer lateral. The relocation of the watermain was not necessary. Attachments: See itemized schedule CHANGE IN CONTRACT PRICE: Time Description Amount Original Contract Price $15,000.56 Net Increase (Decrease) $0.00 from previous Change Orders No. : (days) Contract Price prior to this $15,000.56 Change Order: Net increase (decrease) of ($6,809.31) this Change Order: (days or dates) Contract Price with all $8,191.25 approved Change Orders: CONTRACTOR (Signature) Date: 3 /,;-,10,120/A CHANGE IN CONTRACT TIMES Description Time Original Contract Time: (days or dates) Substantial Completion: Final Completion: Net change from previous Change Orders No.: (days) Substantial Completion: Final Completion: Contract Time prior to this Change Order: (days or dates) Substantial Completion: Final Completion: Net increase (decrease) this Change Order: (days or dates) Substantial Completion: Final Completion: Contract Time with all approved Change Orders: (days or dates) Substantial Completion: Final Completion: RECOMMENDED: By: 44w EN NEER (Signa ure Date: 312G120/9 APPROVED .AS TCm*. AN LEGAL, SUFFICI FAUtilities\UTILITY- Engineering\Projects -Capital Projects\18-0213 424 22nd St SW\00942 -Change Order Form .docx 00942-1 a) 0 oU ro 0 U u-4 0 a) U E m D LAN REIT GOLD OOUNTY ATTORNEY 00942 - Change Order Form