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i <br /> SECTION 00942 - Change Order Form <br /> No. <br /> i <br /> DATE OF ISSUANCE : EFFECTIVE DATE: <br /> i <br /> OWNER: Indian River County <br /> CONTRACTOR <br /> Contract: <br /> Project: INDIAN RIVER SOUTH SIDEWALK IMPROVEMENTS <br /> + OWNER's Contract No. ENGINEER's Contract No. <br /> ENGINEER <br /> i You are directed to make the following changes in the Contract Documents : <br /> Description : <br /> Reason for Change Order: <br /> i Attachments : (List documents supporting change) <br /> i CHANGE IN CONTRACT PRICE : CHANGE IN CONTRACT TIMES <br /> Descri tion Amount Descri tion 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 /> i 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 />+� Change Order: Order: (days or dates) <br /> Substantial Completion : <br /> Final Completion : <br /> i 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 /> i <br /> Final Completion : <br /> ACCEPTED : RECOMMENDED : APPROVED : <br /> i <br /> By: By: By: <br /> CONTRACTOR (Signature) ENGINEER (Signature) OWNER (Signature) <br />+ <br /> Date: Date: Date: <br /> 0201 -00942 - Change Order Form <br /> 00942 - 1 <br /> i FBEngineering\Capital ProjecaW201-031284ndian River Drive Sidewalk-South-Highland Drive SMM201 Indian River Drive South Sidewalk - Contract Docs\0201 -00942 - <br /> Change Order Form.doc Rev. 06101 <br />