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SECTION 00942 - Change Order Form <br />DATE OF ISSUANCE: 05/16/2023 <br />IRC -2030 <br />No. 1 <br />EFFECTIVE DATE: 06/06/2023 <br />OWNER: Indian River County <br />CONTRACTOR TIMOTHY ROSE CONTRACTING, INC. <br />Project: 6155 COURT FULL DEPTH RECLAMATION (FDR) FROM 47T" ST TO 49T" ST <br />OWNER's Project No. IRC -2216 OWNER'S Bid No. 2023018 <br />You are directed to make the following changes in the Contract Documents: <br />Description: <br />Final Change Order <br />Reason for Change Order: <br />The project is complete. This change order is to make final adjustments to bid line items in order to <br />finalize the contract amount and release retainage to the Contractor <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 />$155,747.50 <br />Net decrease of this Change Order: <br />$(13,079.25) <br />Contract Price with all approved <br />Change Orders: <br />$142,668.25 <br />ACCEPTED: <br />By <br />CONTRACTOR (Signature) <br />Timothy Rose Contracting, Inc. <br />Date: <br />CHANGE IN CONTRACT TIMES <br />Description <br />Time <br />Original Contract Time: <br />(days or dates) <br />Substantial Completion: <br />NA <br />Final Completion: <br />30 <br />Net increase (decrease) this Change Order: <br />Substantial Completion: <br />(days or dates) <br />Final Completion: <br />0 <br />0 <br />Contract Time with all approved <br />Change Orders: <br />(days or dates) <br />Substantial Completion: <br />NA <br />Final Completion: <br />30 <br />RECOMMENDED: <br />By: <br />ENGINEER (Signature) <br />Richard Reichenbach, P.E. <br />Date: <br />APPROVED: <br />By: <br />OWNER (Signature) <br />Richard B. Szpyrka, P.E., PW Director <br />Date: <br />Change Order Form — 00942 <br />F:\Public Works\ENGINEERING DIVISION PROJECTS2216 61st CT Resurfacing (47th St to 49th St)\1-Admin\Agenda Items\Change Orders\IRC-2216_CO1_20230606.docx <br />60 <br />