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