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I <br />SECTION 00942 - Change Order Form <br />i No. 1 <br />I <br />DATE OF ISSUANCE: 3/26/2021 <br />EFFECTIVE DATE: 4/13/2021 <br />OWNER: Indian River County <br />CONTRACTOR Proshot Concrete, Inc. i <br />Project: CR 512 Bridge Repairs (FDOT # 884078 & # 884079) <br />OWNER's Project No. IRC -1727 I OWNER'S Bid No. 2020033 <br />You are directed to make the following changes in the Contract Documents: <br />Reason for Change Order: 1 <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, release retainage to the Contractor and make <br />final contract time adjustments. <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 />$331,375.00 <br />Net (decrease) of this <br />Change Order: <br />($25,456.80) <br />Contract Price with all <br />approved Change Orders: <br />$305,918.20 <br />ACCEPTED: <br />By: <br />CONTRACTOR (Signature) <br />Date: <br />CHANGE IN CONTRACT TIMES <br />Description <br />Time <br />Original Contract Time: <br />(days or dates) <br />Substantial Completion: <br />90 <br />Final Completion: <br />120 <br />Net (decrease) this Change Order: <br />Substantial Completion: <br />(days or dates) <br />Final Completion: <br />8 <br />8 <br />Contract Time with all approved <br />Change Orders: <br />(days or dates) <br />Substantial Completion: <br />98 <br />Final Completion: <br />128 <br />RECOMMENDED: <br />Rob Skok <br />By: <br />PROJECT MANAGER <br />(Signature) I <br />Date: <br />APPROVED: <br />By: <br />OWNER (Signature) <br />Date: <br />105 <br />