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North County Water & Sewer Phase 2 <br />Attachment 1 <br />SECTION 00942 - Change Order Form <br />No. 1 <br />DATE OF ISSUANCE: June 7, 2021 EFFECTIVE DATE: June 15, 2021 <br />OWNER: Indian River County Department of Utility Services <br />CONTRACTOR: Centerline, Inc. <br />Project: North County Water & Sewer Phase 2 <br />OWNER's Project No. UCP <br />OWNER'S Bid No. 2021019 <br />You are directed to make the following changes in the Contract Documents: <br />Reason for Change Order: Adjust the unit prices of the listed line items to corrspo <br />Attachments: Description of Itemized Changes <br />CHANGE IN CONTRACT <br />PRICE: <br />I <br />Description <br />Amount <br />-Description <br />Original Contract Price <br />$3,881,269.00 <br />Net increase/(decrease) of <br />this Change Order: <br />$ 159,297.70 <br />Contract Price with all <br />approved Change Orders: <br />$4,040,566.70 <br />Accepted by: <br />CONTRACTOR (Signature) <br />Randy Stringer <br />Centerline, Inc. <br />Date: <br />CHANGE IN CONTRACT TIMES T <br />I <br />Description <br />Time <br />Original Contract Time: <br />(days/dates) <br />Substantial Completion: <br />*No Change* <br />Final Completion: <br />Net increase this Change Order: <br />(days) <br />Substantial Completion: <br />*No Change* <br />Final Completion: <br />Contract Time with all approved <br />Change Orders: <br />(days or dates) <br />Substantial Completion: <br />*No Change* <br />Final Completion: <br />Recommended by: <br />ENGINEER (Signature) <br />John M. Boyer, RE <br />Utilities Engineer <br />Date: <br />Approved by: <br />OWNER (Signature) <br />Vincent Burke, P.E. <br />Utilities Director <br />Date: <br />2021019 CO 01.d i <br />(10942-1 U <br />FAU81ities\UTILITY - Engireenng\Projects - Utility Construction Permits\IRC -North Sebastian S2S (M&M)\Agenda Items\Phase IIQ1-0615 CO 01\2021019 CO 01.docx Rev. <br />05/01 <br />