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IRC -1639 <br />SECTION 00942 — Change Order Form <br />No. 1 <br />DATE OF ISSUANCE: 12/5/2023 <br />EFFECTIVE DATE: 12/5/2023 <br />OWNER: Indian River County <br />CONTRACTOR Timothy Rose Contracting, Inc. <br />Project: 69TH STREET FROM 66TH AVENUE TO SR5/US-1, RESURFACING <br />OWNER's Project No. IRC -1639 OWNER'S Bid No. 2022028 <br />FM No.: 438073-1-54-01 <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 items in <br />order to finalize the contract amount, release retainage to the Contractor and make final contract <br />time adjustments. <br />Attachments <br />Description of Itemized Changes <br />CHANGE IN CONTRACT PRICE: <br />Description <br />Amount <br />Original Contract Price <br />$3,806,470.75 <br />Net decrease of this Change <br />Order: <br />($216,659.23) <br />Final Completion: <br />Contract Price with all <br />approved Change Orders: <br />$3,589,811.52 <br />CHANGE IN CONTRACTTIMES <br />Description <br />Time <br />Original Contract Time: <br />(days) <br />Substantial Completion: <br />210 <br />Final Completion: <br />240 <br />Net increase this Change Order: <br />(days) <br />Substantial Completion: <br />86 <br />Final Completion: <br />92 <br />Contract Time with all approved <br />Change Orders: <br />(days) <br />Substantial Completion: <br />296 <br />Final Completion: <br />1 332 <br />ACCEPTED: RECOMMENDED: APPROVED: <br />OyNw ITl �v+i W: Mahwnab. Q�QN9NxaIN u,S MSaan Leeks <br />Gl•N hwn,br,mi• ,�jyplgN RIVERG' "LUSO= <br />Mark Winslow Sean Lies e <br />BBBy: %Nb e -En v -m By: Date 2023.12051 11505-0500 <br />y: ma:2onal.0 nsr:u osm <br />CONTRACTOR (Signature) ENGINEER (Signature) OWNER (Signature) <br />Date:/1177/2 S 1 1 Date: I Lqate: <br />Change Order Form — 00942 <br />FAPublic WorksIENGINEERING DIVISION PROJECTS\1639 69th Street 661h Avenue to LIS -1 Resurfacing (SCOP)i1-AdrNnWgenda Items\Project CloseouNRC- <br />1639 C01_20231121.docz <br />