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• <br />• <br />• <br />SECTION 00942 - Change Order Form <br />No. 01 <br />DATE OF ISSUANCE EFFECTIVE DATE* <br />OWNER: Indian River County <br />CONTRACTOR R.J. Sullivan Corporafon Engineer: Atkins <br />Project: WEST REGIONAL WWTP ANAEROBIC TANKS ODOR CONTROL SYSTEM DESIGN <br />Project No. UCP 4067 <br />Bid No. 2013013 <br />You are directed to make the following changes in the Contract Documents: <br />Description: <br />See attached Itemized list for the description. <br />Reason for Change Order: <br />See attached Itemized description list for the justification. <br />Attachments: (List documents supporting change) <br />See attached Itemized description list for the supporting documents <br />ACCEPTED: <br />COVRACTOR (Signature) <br />Date: /71/,‘ <br />i <br />RECOMMENDED: <br />OWNER (Signature) <br />Date: <br />BR�j ` _ <br />13,E <br />CHANGE IN <br />CHANGE IN CONTRACT <br />PRICE: <br />ENGINEER_ <br />Description <br />Time <br />Description <br />Amount <br />Original Contract Price <br />$1,015,000.00 <br />dates) <br />Net Increase <br />previous <br />(Decrease) <br />Chang a <br />to <br />from <br />Orders No. <br />$0 <br />Change <br />: <br />Contract Pace prior <br />Change Order: <br />to this <br />Substantial Completion: <br />Final Completion: <br />Contract Time prior to this Change <br />Order: <br />Substantial Completion: <br />Final Completion: <br />$1,015,000.00 <br />dates) <br />270 <br />Net increase (decrease) this <br />Change Order: <br />Substantial Completion: <br />Final Completion: <br />(days <br />90 <br />or dates) <br />90 <br />Net increase (decrease) of <br />this Change Order: <br />$(144,180.97) <br />(days <br />330 <br />Contract Price with all <br />approved Change Orders: <br />$870,819.03 <br />dates) <br />360 <br />ACCEPTED: <br />COVRACTOR (Signature) <br />Date: /71/,‘ <br />i <br />00942 - 1 <br />RECOMMENDED: <br />OWNER (Signature) <br />Date: <br />BR�j ` _ <br />13,E <br />CHANGE IN <br />CONTRACT TIMES <br />ENGINEER_ <br />Description <br />Time <br />n <br />Original Contract Time. <br />Substantial Completion: <br />Final Completion: <br />(days <br />240 <br />or <br />dates) <br />270 <br />Date: Janus <br />Net change <br />Orders <br />from previous <br />No, to <br />Change <br />: <br />(days) <br />0 <br />0 <br />Substantial Completion: <br />Final Completion: <br />Contract Time prior to this Change <br />Order: <br />Substantial Completion: <br />Final Completion: <br />(days or <br />240 <br />dates) <br />270 <br />Net increase (decrease) this <br />Change Order: <br />Substantial Completion: <br />Final Completion: <br />(days <br />90 <br />or dates) <br />90 <br />Contract Time with all approved <br />Change Orders: <br />Substantial Completion: <br />Final Completion: <br />(days <br />330 <br />or <br />dates) <br />360 <br />00942 - 1 <br />RECOMMENDED: <br />OWNER (Signature) <br />Date: <br />BR�j ` _ <br />13,E <br />(Atkins) <br />ENGINEER_ <br />( <br />9 <br />n <br />) <br />Date: Janus <br />10, 2014 <br />00942 - 1 <br />Change Order No 1 Form without afowance,doc <br />114 <br />APPROVED <br />By; <br />OWNER (Signature) <br />Date: <br />Change Order No 1 Form without afowance,doc <br />114 <br />