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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: Forest Park Water Main Ext. OWNER'S Bid No. WA 2017-008 You are directed to make the following changes in the Contract Documents: Description: Add/Deduct line items/quantities from contract. Reason for Change Order: Final Pay Application: Adjust contract amount to reflect actual constructed material and quantities, and delete contingency. Attachments: See itemized schedule CHANGE IN CONTRACT PRICE: Time Description Amount Original Contract Price $74,920.78 Net Increase (Decrease), $0.00 from previous Change Orders No. : (days) Contract Price prior to this $74,920.78 Change Order: Net increase (decrease) of ($14,532.38) this Change Order: (days or dates) Contract Price with all $60,388.40 approved Change Orders: ACCEPTED: - By: CONTRAC R (Signature) Date: I S /al/ 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: EN 3INEER (Sicinat ) Date: 5-11 APPROVED: - By: OWNER (Signature Date: C:\Usewltgorman\AppData\Local\Microsoft\Windows\INetCachelContent.OuNookN7DX40179\CO-1 WA2017-008.docx CO -1 WA2017-008 119 00942-1