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r <br /> SECTION 00942 - Change Order Form <br /> r No . <br /> r DATE OF ISSUANCE : EFFECTIVE DATE : <br /> OWNER : Indian River County <br /> CONTRACTOR <br /> Bid Number:2008012 <br /> Project: CR 512 , PHASE IV ROADWAY IMPROVEMENTS <br /> OWNER's Contract No. ENGINEER's Contract No. NIA <br /> ENGINEER IRC <br /> You are directed to make the following changes in the Contract Documents: <br /> Description : <br /> w <br /> Reason for Change Order: <br /> Attachments : (List documents supporting change) <br /> r <br /> CHANGE IN CONTRACT PRICE : CHANGE IN CONTRACT TIMES <br /> Descri tion Amount Description Time <br /> Original Contract Price $ Original Contract Time: (days or dates) <br /> 40 Substantial Completion : _ <br /> Final Completion : <br /> Net Increase (Decrease) from $ Net change from previous Change <br /> a� 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 /> Net increase (decrease) of this $ Net increase (decrease) this <br /> Change Order: Change Order: (days or dates) <br /> Substantial Completion :40 _ <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 /> M Final Completion : <br /> ACCEPTED : RECOMMENDED : APPROVED : <br /> By: By: By: <br /> CONTRACTOR (Signature) ENGINEER (Signature) OWNER (Signature) <br /> r <br /> Date: Date: Date: <br /> 00942 - Change Order Form REV 04-07.doo <br /> 00942 - 1 <br /> F:\Engineering\Cap@al Projecta\961 LCR 512 Wideniag)9611 CR 512 PHASE INConvact Documents\00942 - Change Order Fonn REV 04-07 doc <br />