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V <br />Change Order Form <br />No. 1 <br />DATE OF ISSUANCE: 4/26/2024 EFFECTIVE DATE: <br />OWNER: Indian River County <br />CONTRACTOR Sports Surfaces, LLC <br />Project: Hosie Shumann Park Basketball Court Replacement <br />OWNER's Project No. 2023034 <br />You are directed to make the following changes in the Contract Documents: <br />Description: The contractor demoed, removed and disposed of the concrete slab. <br />Reason for Change Order: The contractor discovered a concrete slab under the asphalt <br />basketball court when removing the asphalt for replacement of the court. <br />Attachments: Section 00948 --Agreement, Work Change Directive, Quote in the amount of <br />$6,750 <br />CHANGE IN CONTRACT PRICE: <br />Description <br />Amount <br />Original Contract Price <br />$63,500 <br />Net Increase (Decrease) from <br />son <br />previous Change Orders No, to <br />Contract Price prior to this <br />$63,500 <br />Change Order. <br />(days) <br />Net increase (decrease) of this <br />$6,754 <br />Change Order: <br />Contract Price with all approved <br />$70,250 <br />Change Orders: <br />(days or dates) <br />Date: LO. -off• - 2oVA . <br />(Signature) <br />Date: to <br />CHANGE IN CONTRACT TIMES <br />Board of County <br />Time <br />-Description <br />Original Contract Time: <br />(days or dates) <br />Substantial Completion, <br />a �� <br />Final Completion: <br />Net change from previous Change <br />Orders No. to <br />(days) <br />Substantial Completion: <br />BCC Approved. <br />Final Completion; <br />Contract Time prior to this Change <br />Order: <br />(days or dates) <br />Substantial Completion: <br />Final Completion: <br />Net increase (decrease) this <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 />Change Order -1 <br />Attest: Ryan L. Butler, Clerk of <br />Circuit Court and Comptroller <br />Deputy Clerk <br />Board of County <br />Commissioners, <br />Indian River Co <br />a �� <br />usan Adarns, Chairman %t 3� <br />kVRI`JERr; <br />BCC Approved. <br />11/05/2024 •~ <br />Attest: Ryan L. Butler, Clerk of <br />Circuit Court and Comptroller <br />Deputy Clerk <br />