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SECTION 00942 - Change Order Form <br />DATE OF ISSUANCE: 5 .25.2021 <br />No. 3 <br />EFFECTIVE DATE: <br />OWNER: Indian River County <br />CONTRACTOR <br />Project: Interior Renovation of the Indian River County Building and Fire Departments <br />OWNER'S Bid No. 2020057 <br />You are directed to make the following changes in the Contract Documents: N/A <br />Description: <br />Extension of Hedrick Brothers Construction Co. Inc.'s <br />General Conditions (GCs) per Article 12 of The Standard <br />Reason for Change Order: General Conditions of the Construction Contract due to a <br />delay to the construction schedule at no fault of <br />Hedrick Brothers.Cause of delay being Owner furnished furniture. <br />Attachments: (List documents supporting change) <br />Revised Schedule (3 pages) <br />Original Schedule (3 pages) <br />CHANGE IN CONTRACT PRICE: <br />Description I Amount <br />Original Contract Price $763,442.00 <br />Net Increase (Decrease) from $36,446.89 <br />previous Change Orders No. <br />1 to 2 <br />Contract Price prior to this $799,888.89 <br />Change Order: <br />Net increase (decrease) of this $19, 919.60 <br />Change Order: <br />Contract Price with all approved $819, 808.49 <br />Change Orders: <br />ACCEPTED: <br />By: /I �� <br />CONTRACTOR (Signature) <br />Date: 5 .2 5 . 2 0 21 <br />CHANGE IN CONTRACT TIMES <br />Description <br />Time <br />Original Contract Time: <br />(days or dates) <br />Substantial Completion: <br />Final Com letion: <br />873/2021 <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: 19 working days <br />(days or dates) <br />Substantial Completion: <br />Final Com letion: <br />873-0/2021 <br />Contract Time with all approved <br />Change Orders: <br />(days or dates) <br />Substantial Completion: <br />Final Completion: <br />_aL3 0 /2 021 <br />RECOMMENDED: <br />By: <br />ENGINEER (Signature) <br />Date: <br />APPROVED: <br />By' <br />7ate <br />R (Signature: July 13, 2021 <br />Attest: Jeffrey R. Smith, Clerk o�� � ���� ��,� � <br />Circuit Court and Comptroller <br />AND, <br />LIA.t C. O-511RAAL <br />Deputy Clerk DEPU"rYO®UNTYATTORNEY <br />00942 - Change Order Form REV 04-07 <br />00942-1 <br />PABids\2019-2020 FY (2020000)\2020057 Building Division Renovations\Front End Docs\00942 - Change Order Farm REV 04-07.doc Rev. 05101 <br />