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SECTION 00942 - Change Order Form No. 1 DATE OF ISSUANCE: May 10, 2018 EFFECTIVE DATE: May 10, 2018 OWNER: Indian River County CONTRACTOR Blue Goose Construction. Project: 128th Court, 82nd Court, and 83rd Avenue Water Main Ext. OWNER'S Bid No. WA 2018-001 You are directed to make the following changes in the Contract Documents: Description: Deduct line items/quantities from contract. Reason for Change Order: Reduce contract amount to reflect actual constructed material and quantities. Attachments: See itemized schedule CHANGE IN CONTRACT PRICE: Time Description Amount Original Contract Price $35,634.06 Net Increase (Decrease) $0.00 from previous Change Orders No. : (days) Contract Price prior to this $35,634.06 Change Order: Net increase (decrease) of ($4,988.36) this Change Order: (days or dates) Contract Price with all $30,645.70 approved Change Orders: ACCEPTED: By: CONTRACTOR (Signature) Date: -Tf o// 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: B&V y: / I � Z�--' E INEER (Signage) Date:/`//ZD/6 ET-NIT917153 OWNER (Signature) gob Solari, Vice Chairman Date: June 5, 2018 a� 0 9 U b 0 U 4-40 APPROVED AS TO FORM : a �t S!o;�•. A'i'NsID LEGAL. SUFFICIENCY BY , ID L..AN REI17,0,-OL 0 COUNTY ATTORNEY `• moi'• � . � C:\Users\tgorman\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\7DX40179\CO-1 WA2018-001.docx CO -1 WA'd�� CSO'• 00942-1 '•'°R COUN:•""