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Change Order Form <br />No. 1 <br />DATE OF ISSUANCE: EFFECTIVE DATE: <br />OWNER: Indian River County i <br />CONTRACTOR CER Signature Cleaning, LLC <br />Project: Contract services for beach parks maintenance/janitorial <br />OWNER's Project No. 2018044 <br />You are directed to make the following changes in the Contract Documents: <br />Description: For janitorial maintenance of beach parks <br />Reason for Change Order: To cover additional amount that was on the April 2020 invoice. <br />Attachments: (List documents supporting change) copy of April invoice <br />CHANGE IN CONTRACT PRICE: <br />Description <br />Amount <br />Original Contract Price <br />$71,232 <br />Net Increase (Decrease) from <br />previous Change Orders No. to <br />$0 <br />Contract Price prior to this <br />Change Order: <br />$71,232 <br />Net increase (decrease) of this <br />Change Order: <br />$480.20 <br />Contract Price with all approved <br />Change Orders: <br />$71,712.2 <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. to <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 />APPR f77 <br />OWN R Si ature) <br />LDat,._�_/P <br />' k <br />APPROVEr,) AS TO FORM <br />ANLY LEGAL AL SUFFICIENCY <br />Change ORder -1 00 U INTY ATTO R N EY <br />