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SECTION 00942 — Change Order Form <br />No. One <br />DATE OF ISSUANCE: April 8, 2025 EFFECTIVE DATE: April 8, 2025 <br />OWNER: Indian River County <br />CONTRACTOR Proctor Construction Company, LLC <br />Project: Fire Station 11 Renovations <br />You are directed to make the following changes in the Contract Documents: <br />Description: <br />Reason for Change Order: <br />Attachments: (List documents supporting change) <br />CHANGE IN CONTRACT PRICE: <br />Description <br />Amount <br />Original Contract Price with <br />$511,512.00 <br />Latent Defect Allowance <br />Net Increase (Decrease) from <br />$ 0 <br />previous Change Orders No. <br />to <br />(days) <br />Contract Price prior to this Change <br />$511,512.00 <br />Order: <br />Net increase (decrease) of this <br />$13,775.69 <br />Change Order: <br />(days or dates) <br />Contract Price with all approved <br />$525,287.69 <br />Change Orders: <br />ACCEPTED: <br />By: <br />CONTRACTOR (Signature) <br />Date: <br />CHANGE IN CONTRACT TIMES <br />Description <br />Time <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 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 Change <br />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 />By: <br />ENGINEER (Signature) <br />Date: <br />APPROVED: <br />By: <br />OWNER (Signature) <br />Date: <br />Change Order Form — 00942 <br />196 <br />