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SECTION 00942 - Change Order Form <br />am <br />DATE OF ISSUANCE: 11/5/2024 EFFECTIVE DATER 1/5/2024 <br />OWNER: Indian River County <br />CONTRACTOR Jim's Complete Construction, LLC <br />Project: <br />OWNER's Project No. IRC -2411 OWNER'S Bid No. 2024057 <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 to finalize the contract. <br />Attachments: <br />Description of Itemized Changes <br />CHANGE IN CONTRACT PRICE: <br />Description <br />Amount <br />Original Contract Price <br />_7_$78.016�53 <br />Net Increase (Decrease) from <br />30 <br />previous Change Orders No. 1: <br />Contract Price prior to this Change <br />$101,205.53 <br />Order: <br />0 <br />Net increase (decrease) of this <br />($18.800.00) <br />Change Order: <br />(days) <br />Contract Price with all approved <br />$82,405.53 <br />Change Orders: <br />CHANGE IN CONTRACT TIMES <br />Description <br />Time <br />Original Contract Time: <br />(days) <br />Final Completion: <br />30 <br />Net change from previous Change <br />Orders No. 1 <br />(days) <br />Final Com letion: <br />0 <br />Contract Time prior to this Change <br />Order: <br />(days) <br />Final Completiom <br />30 <br />Net increase (decrease) this Change <br />Order: <br />(days or dates) <br />Final Completion: <br />0 <br />Contract Time with all approved <br />Change Orders: <br />(days or dates) <br />Final Completion: <br />30 <br />ACCEPTED: RECOMMENDED: JAPPROVED: <br />-- S,;� =1— Addie , A I diii e <br />By: <br />J�: <br />By: By: [Rob Skok Ved <br />OWNER (Signature} <br />CONVACTOR Mnature) PROJECT MANAGER (Signature) OWNER ( ignature) <br />Date: i0 II-RIN Date: LDate: <br />IRC -2411 CQ2 <br />00942-1 <br />F IPLW,c Wbk.4ENGINESRING DIVISION PROJECT=411 Tu Collector Roar R904C6rn4WAdftn'A"nd3 00SO014'tO2 Back upVRC-2411,_CO2d0C Rev, <br />05,1)1 <br />