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9 <br />SECTION 00942 - Change Order Form <br />No..1 <br />DATE OF ISSUANCE: 10/23/2018 EFFECTIVE DATE: 10/23/2018 <br />OWNER: Indian River County <br />CONTRACTOR Mancil's Tractor Service, Inc. <br />Project: (CR510) 85TH STREET TURN LANE EXTENSION AT 66TH AVENUE <br />OWNER's Project No. IRC -1745 <br />OWNER'S Bid No. 2018039 <br />You are directed to make the following changes in the Contract Documents: <br />Reason for Change Order: <br />The project is.complete. This change order is intended to make final adjustments to bid line <br />items in order to finalize the contract amount and release retainage to the Contractor. <br />Attachments: (List documents supporting change) <br />Description of Itemized Changes <br />CHANGE IN CONTRACT <br />PRICE: <br />Description <br />Amount <br />Original Contract Price <br />$151.016.30 <br />Net decrease of this Change <br />Order. <br />$23,290.27 <br />Contract Price with all <br />approved Change Orders: <br />$127,726.03 <br />ACCEPTED: <br />By: v�+' ✓ <br />CONTRACTOR (Signature) <br />Date: 10- 2 - 1St <br />CHANGE IN CONTRACT TIMES <br />Description <br />Time <br />Original Contract Time: <br />(days or dates) <br />Substantial Completion: <br />(10/6/2018) <br />Final Completion: <br />11/5/2018 <br />Net increase (decrease) this <br />Change Order: <br />(days or dates) <br />Substantial Completion: <br />N/A <br />Final Completion: <br />N/A <br />Contract Time with all approved <br />Change Orders: <br />(days or dates) <br />Substantial Completion: <br />(9/26/2018) <br />Final _Complletion: <br />(10/5/2018) <br />RECOMMENDED: <br />By: L U,& W <br />ENGINEER (Signature) <br />Date: 10/12/2018 <br />APPROVED: <br />By: <br />IRC -1745 00942 COF 20181023 <br />00942 -1 <br />FAPublic WorWENGINEERING DMSION PROJECTS\1745 (CR510) 85th Street Right Turn Lane Extension at 66th Ave11-AdminWgenda ItemslProjecl CloseouNRC- <br />1745 00942 COF 20181023.doc Rev. 05/M <br />136 <br />