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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 SRS/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 />Substantial Completion: <br />Net decrease of this Change <br />Order: <br />($216,659.23) <br />240 <br />Contract Price with all <br />approved Change Orders: <br />$3,589,811.52 <br />ACCEPTED: <br />By: <br />CONTRACTOR (Signature) <br />Date: <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 />332 <br />RECOMMENDED: <br />By: <br />ENGINEER (Signature) <br />Date: <br />APPROVED: <br />By: <br />OWNER (Signature) <br />Date: <br />Change Order Form — 00942 <br />F \Public Works\ENGINEERING DIVISION PROJECTS\1639 69th Street 66th Avenue to US -1 Resurfacing (SCOP)\1-AdminWgenda Items\Project Closeout\IRC- <br />1639CO1_20231121.doccx <br />58 <br />