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Change Order Form <br />No. 1 <br />DATE OF ISSUANCE: EFFECTIVE DATE: <br />OWNER: Indian River Count <br />CONTRACTOR n alian River Dock, LLC <br />Project: Replacement Pontoon Boat Dock at the Environmental Learning Center <br />OWNER's Project No. NIA <br />OWNER's Bid No. 2023021 <br />You are directed to make the following changes in the Contract Documents: <br />Description: <br />Reason for Change Order: Reduce the force account, add a concrete sidewalk between dock and <br />road, add aluminum "T" bracket to guardrail top cap. <br />Attachments: (List documents supporting change) <br />CHANGE IN CONTRACT PRICE <br />Description <br />--- <br />Amount <br />----------- -- <br />Original Contract Price <br />$ <br />331,456 <br />Net Increase (Decrease) from <br />$ <br />previous Change Orders No. _to <br />0 <br />Contract Price prior to this <br />$ <br />Change Order: <br />Final ComRletion: <br />321,456 <br />Net increase (decrease) of this <br />$ <br />Change Order: <br />-3.400 <br />Contract Price with all approved <br />$ <br />Change Orders: <br />328,056 <br />ACCEPT <br />By: 1e—V> <br />C TOR (Signature) <br />_Date: �' �7 �� <br />17/ <br />Attest: Ryan L. Butler, Clerk of <br />Cir . Court and Comptroller <br />By: . <br />Deputy clerk <br />CHANGE IN CONTRACT TIMES <br />Description <br />Time <br />— _ <br />Original Contract Time: <br />(days or dates) <br />Substantial Completion: <br />Final Completion: <br />Net change from previous Change <br />Orders No. to <br />(days) <br />Substantial Completion: <br />Final ComRletion: <br />Contract Time prior to this Change <br />Order: <br />(days or dates) <br />Substantial Completion: <br />Final Completion: <br />_ <br />Net increase (decrease) this <br />_ <br />Change Order <br />(days or dates) <br />Substantial Completion: <br />Final Completion_ <br />Contract Time with all approved <br />Change Orders: <br />(days or dates) <br />Substantial Completion. <br />Final Completion: <br />RECOMMENDED: <br />Charles T. Digitally signed by Chanes T. <br />Fontaine III <br />flyntaine III Date: 2024.02.0009:53:52-05'00' <br />ENGINEER (Signature) <br />Date. <br />Change Order - 1 <br />APPROVE: <br />By. <br />NER ( 'gnature) <br />Date: 02-20-2024 <br />APPROVED AS TO FORM <br />AND LE S FIC Y <br />BY <br />WILLIAM K. DEBRAAL <br />COUNTY ATTORNEY <br />