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SECTION 00942 - Change Order Form <br />No. 1 <br />DATE OF ISSUANCE: 2/10/2015 EFFECTIVE DATE:2/10/2015 <br />OWNER: Indian River County <br />CONTRACTOR Timothy Rose Contracting, Inc. <br />Project: 12th Street & 27th Avenue Intersection Improvements <br />OWNER's Project No. 9334 OWNER'S Bid No. 2013021 <br />You are directed to make the following changes in the Contract Documents: <br />Reason for Change Order: <br />To make final adjustments to bid line items for final payment. <br />Attachments: (List documents supporting change) <br />Letter from Timothy Rose Contracting, Inc. dated 1/6/2015 explaining additional days to <br />contract. <br />Description of Itemized Changes <br />CHANGE IN CONTRACT PRICE: <br />Description <br />Amount <br />Original Contract Price <br />$1,525,216.32 <br />Substantial Completion: <br />Net increase of this Change Order: <br />($100,799.05) <br />210 4/27/2014 <br />Contract Price with all approved <br />Change Orders: <br />$1,424,417.27 <br />C• TRACTOR (Signature) <br />Date/`Z //S— <br />CHANGE IN CONTRACT TIMES <br />Description <br />Time <br />Original Contract Time: <br />(days and dates) <br />Substantial Completion: <br />180 3/27/2014 <br />Final Completion: <br />210 4/27/2014 <br />Net increase this Change Order: <br />(days) <br />Substantial Completion: <br />57 <br />Final Completion: <br />57 <br />Contract Time with all approved <br />Change Orders: <br />(days and dates) <br />Substantial Completion: <br />237 5/24/2014 <br />Final Completion: <br />267 6/24/2014 <br />RECOMMENDED: <br />By: <br />ENGINEER (Signature) <br />Date: <br />00942 - 1 <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\9334-12th Street & 27th Avenue Intersection Improvement&Admim\agenda items\00942 - Change Order Form 2-10- <br />2015.doc Rev. 05/01 <br />APPROVED: <br />By: <br />OWNER (Signature) <br />Date: <br />00942 - Change Order Form 2-10-2015 <br />149 <br />