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SECTION 00942 - Change Order Form DATE OF ISSUANCE: 11/21/2023 No. 1 EFFECTIVE DATE: 11/21/2023 OWNER: Indian River County CONTRACTOR OHL-USA, Inc. Project: 6th AVENUE MILLING & RESURFACING OWNER's Project No. IRC -1638 OWNER'S Bid No. 2022008 You are directed to make the following changes in the Contract Documents: Reason for Change Order: The project is complete. This change order is intended to make final adjustments to bid line items in order to finalize the contract amount, release retainage to the Contractor and make final contract time adjustments. Attachments: (List documents supporting change) Description of Itemized Changes CHANGE IN CONTRACT PRICE: Description Amount Original Contract Price $2,309,154.91 Net decrease of this Change Order: ($173,755.78) Contract Price with all approved Change Orders: $2,135,399.13 U ohei E Digdallysigned b Yohai E Castro antro Date 2023.11.01 12.2421 -04.00' CONTRACTOR (Signature) Date: CHANGE IN CONTRACT TIMES Description Time Original Contract Time: (days) Substantial Completion: 150 Final Completion: 180 Net increase this Change Order: (days) Substantial Completion: 180 Final Completion: 180 Contract Time with all approved (days) Change Orders: Substantial Completion: 330 Final Completion: 1 360 RECOMMENDED: Rv � PROJECT MANAGER(Signature) Date: APP R VED: Kirstin ar Leiendecker, By: ASSISTANT PUBLIC WORKS DIRECTOR (Signature) Date: IRC -1638 COl 20231121 00942-1 F:\Public Works\ENGINEERING DIVISION PROJECTS\1638 6th Avenue US -1 to 21st Street Resurfacing (SCOP)\t-AdmiMAgenda Items\Project Closeout\NO LDS\IRC- 1638_COt_20231121.doc Rev. 05101