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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: 1281' Court 82nd Courtand 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: Descri tion Amount Original Contract Price $35,634.06 Net Increase (Decrease) $0.00 from previous Change Net change from previous Change Orders No. : Orders No.: Contract Price prior to this $35,634.06 Change Order: Final Completion: Net increase (decrease) of ($4,988.36) this Change Order: Order: Contract Price with all $30,645.70 approved Change Orders: Final Completion: ACCEPTED: - By: CONTRACTOR (Signature) Date: S 1 o1/ t 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: EP46INEER (Signa e) Date: Z/�Awd APPROVED: By: OWNER (Signature) Date: C:1Users\tgortnanlAppData\Local\Mcrosoft\Windows\INetCachelContent.Outlook\TDX401T91C0-1 WA2018.001.docx CO -1 WA2018-001 128 00942-1