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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 Countv <br />CONTRACTOR C.W. Roberts Contracting, Inc. <br />Project: IRC -1707 <br />FM No. 441919-1-54-01 OWNER'S Bid No. 2022046 <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 <br />PRICE: <br />Description <br />Amount <br />Original Contract Price <br />$4,989,884.10 <br />Net decrease of this <br />Change Order: <br />($301,346.69) <br />Contract Price with all <br />approved Change Orders: <br />$4,688,537.41 <br />ACCEPTED: <br />By: <br />EE�� <br />CONTRACTOR (Signature) <br />Date: I t11 �l 2 3 <br />CHANGE IN CONTRACT TIMES <br />Description <br />Time <br />Original Contract Time: <br />(days) <br />Substantial Completion: <br />180 <br />Final Completion: <br />210 <br />Net increase this Change Order: <br />(days) <br />Substantial Completion: <br />142 <br />Final Completion: <br />142 <br />Contract Time with all approved <br />Change Orders: <br />(days) <br />Substantial Completion: <br />322 <br />Final Com letion: <br />352 <br />RECOMMENDED: <br />FReichenbach <br />By: <br />ENGINEER (Signature) <br />Date: <br />APP <br />By: '�2 Ls--J- <br />OWNER <br />_ 1OWNER (Signature) <br />Date: <br />IRC -1707 CO1 20231121 <br />00942-1 <br />`APubllc Works\ENGINEERING DIVISION PROJECTS\17071ndlan River Blvd Merrill Barber Bridge to 53rd Sl Resurfacing (SCOP)\1-AdminWgenda Items%Project <br />Clo5euut\IRC-1707 C01-20231121.doc Rev. 05101 <br />