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