Laserfiche WebLink
aw <br /> SECTION 00942 - Change Order Form <br /> .�, No . <br /> .r DATE OF ISSUANCE : EFFECTIVE DATE : <br /> OWNER: Indian River County <br /> CONTRACTOR <br /> Contract: <br /> Project: 0016 & 0236 <br /> OWNER's Contract No , ENGINEER's Contract No . <br /> ENGINEER <br /> �r 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 : CHANGE IN CONTRACT TIMES <br /> Description Amount Description Time <br /> Original Contract Price $ Original Contract Time: (days or dates ) <br /> Substantial Completion : <br /> Final Completion : <br /> Net Increase ( Decrease) from $ Net change from previous Change <br /> ,., previous Change Orders No , Orders No . to (days ) <br /> to Substantial Completion : <br /> Final Completion : <br /> Contract Price prior to this $ Contract Time prior to this Change <br /> ow Change Order: Order: (days or dates ) <br /> Substantial Completion : <br /> Final Completion : <br /> Net increase (decrease ) of this $ Net increase (decrease ) this <br /> Change Order: Change Order: (days or dates ) <br /> Substantial Completion : <br /> Final Completion : <br /> Contract Price with all approved $ Contract Time with all approved <br /> Change Orders : Change Orders : (days or dates ) <br /> Substantial Completion : <br /> Final Completion : <br /> ACCEPTED : RECOMMENDED : APPROVED : <br /> By: By: By: <br /> CONTRACTOR (Signature) ENGINEER (Signature) OWNER (Signature) <br /> r <br /> Date : Date : Date : <br /> 0016-00942 - Change Order Form <br /> rr <br /> 00942 - 1 <br /> FAEngineering\Capital Projects\0016 8 0236- 41st Street Improvements\0016 & 023641st St Contract Docs\0016-00942 - Change Order Form.doc Rev. 05/01 <br />