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SECTION 00942 - Change Order Form <br />DATE OF ISSUANCE: 11/21/2023 <br />No. 1 <br />EFFECTIVE DATE: 11/21/2023 <br />OWNER: Indian River County <br />CONTRACTOR OHL-USA, Inc. <br />Project: 611 AVENUE MILLING & RESURFACING <br />OWNER's Project No. IRC -1638 OWNER'S Bid No. 2022008 <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 />$2,309,154.91 <br />Net decrease of this Change Order: <br />($173,755.78) <br />Contract Price with all approved Change <br />Orders: <br />$2,135,399.13 <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 />150 <br />Final Completion: <br />180 <br />Net increase this Change Order: <br />(days) <br />Substantial Completion: <br />180 <br />Final Completion: <br />180 <br />Contract Time with all approved <br />(days) <br />Change Orders: <br />Substantial Completion: <br />330 <br />Final Completion: <br />360 <br />RECOMMENDED: <br />By: <br />ENGINEER (Signature) <br />Date: <br />APPROVED: <br />By: <br />OWNER (Signature) <br />Date: <br />IRC -1638 COl 20231121 <br />00942-1 <br />FAPublic Works\ENGINEERING DIVISION PROJECTS\1638 6th Avenue US -1 to 21st Street Resurfacing (SCOP)\1-AdmWAgenda Items\Project Closeout\NO LDS\IRC- <br />1638_COt_20231121.doc Rev. 05/01 109 <br />