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SECTION 00942 - Change Order Form No. 04 DATE OF ISSUANCE: 06/19/2025 EFFECTIVE DATE:07/15/2025 OWNER: Indian River County CONTRACTOR Halley Engineering Contractors, Inc. Project: 66th Avenue Roadway Widening (49t' Street to 69th Street) OWNER's Project No. IRC -1505 FM NO: 436379-1-54-01 8436379-1-54-02 OWNER'S Bid No. 2021018 You are directed to make the following changes in the Contract Doduments: Reason for Change Order: The project is complete. This change order is intended to make final adjustments to bid line items and time to finalize the contract. Attachments: Description of Itemized Changes CHANGE IN CONTRACT PRICE: Description Amount Original Contract Price $32,728,137.85 Net Increase from previous Change Orders No. 01 to 03: $1,601,094.49 Contract Price prior to this Change Order: $34,329,232.34 Net decrease of this Change Order: ($1,322,311.29) Contract Price with all approved Change Orders: $33,006,921.05 ACCEPTED: By: CONTRACTOR (Signature) Date: CHANGE IN CONTRACT TIMES Time -Description Original Contract Time: (days or dates) Substantial Completion: 720 Final Completion: 750 Net change from previous Change Orders No. 01 to 03: (days) Substantial Completion: 60 Final Completion: 60 Contract Time prior tc this Change Order: (days or dates) Substantial Completion: 780 Final Completion: 810 Net increase (decrease) this Change Order: (days or dates) Substantial Completion: 657 Final Completion: 657 Contract Time with all approved Change Orders: (days or dates) Substantial Completion: 1,437 Finall Completion: 1,467 RECOMMENDED: By: ENGINEER (Signature) Date: APPROVED: By: r - — - I OWNER (Signature) Date: 00942 - Change Order Form REV 04-07 00942-1 F:\Public Works\ENGINEERING DIVISION PROJECTS\1505-66th Ave Widening 49th St to 69th St\1-Admin\Agenda Items\Poject Closeout\00942 -Change Order Form REV 34 04-07.doc Rev. 05/01