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SECTION 00942 - Change Order Form <br />DATE OF ISSUANCE: 2/6/2024 <br />OWNER: Indian River County <br />No. 1 <br />EFFECTIVE DATE: 2/6/2024 <br />CONTRACTOR: Jim's Complete Construction, LLC <br />Project: Information Technology Office & Finance Office Remodel <br />OWNER's Project No. IRC -2004 & 2205 <br />C��L�l►1�:7[.y:3C�►C.���Z�L�7 <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 and release retainage to the Contractor. <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 />$241,050.00 <br />Net decrease of this <br />Change Order: <br />($31,486.00) <br />Contract Price with all <br />approved Change Orders:$209 <br />564.00 <br />Substantial Completion <br />ACCEPTED: <br />Heather Digitally signed by <br />Heather Barry <br />B Barn' Date: 2024.02.01 <br />Y ' 7 09 32:49 -05'00' <br />CONTRACTOR (Signature) <br />Date: <br />CHANGE IN CONTRACT <br />TIMES <br />Description <br />Time <br />Original Contract Time: <br />(days) <br />Substantial Completion <br />90 <br />Final Completion: <br />120 <br />Net increase/decrease of this <br />(days) <br />Change Order: <br />0 <br />Contract Time with all <br />(days) <br />approved Change Orders: <br />Substantial Completion <br />90 <br />Final Completion: <br />120 <br />RECOMMENDED: <br />vary W^aN aoe sm� <br />R <br />ob kok,rom <br />y. a,. px.oxa,osx.xx�� <br />PROJECT MANAGER <br />(Signature) <br />Date: <br />G"C• Nk <br />Kirstin <br />Leiendecker, P.E,1°^m..,, m^= <br />By: <br />OWNER (Signature) <br />Date: <br />IRC -2004-2205 C01 20240206 <br />00942-1 <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\20041RC IT Office\t-Admin\Agenda Items\Project Closeout\IRC-2004-2205_ C01_20240206.doc Rev. 05/01 <br />