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DATE OF ISSUANCE: <br />SECTION 00942 - Change Order Form <br />No. 1 <br />EFFECTIVE DATE: <br />OWNER: Indian River County <br />CONTRACTOR JSR Fueling Technologies, LLC <br />Project: FLEET FACILITY FUEL ISLAND CANOPY REFURBISHMENT <br />OWNER's Project No. IRC -2025 OWNER'S Bid No. 2021024 <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, 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 PRICE: <br />Description <br />Amount <br />Original Contract Price <br />$128,004.22 <br />Net decrease of this Change Order: <br />$(9,519.50) <br />Contract Price with all approved <br />Change Orders: <br />$118,484.72 <br />ACCEPTED: <br />By: <br />CONTRACTOR (Signature) <br />Date: <br />CHANGE IN CONTRACT TIMES <br />Description <br />Time <br />Original Contract Time: <br />(days) <br />Substantial Completion: <br />90 <br />Final Completion: <br />120 <br />Net increase this Change Order: <br />(days) <br />Substantial Completion: <br />10 <br />Final Completion: <br />10 <br />Contract Time with all approved <br />(days) <br />Change Orders: <br />Substantial Completion: <br />100 <br />Final Completion: <br />130 <br />RECOMMENDED: <br />By: <br />ENGINEER (Signature) <br />Date: <br />APPROVED: <br />By: <br />OWNER (Signature) <br />Date: <br />Z <br />