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SECTION 00942 = Change Order Form <br />DATE OF ISSUANCE: <br />OWNER: Indian River County <br />CONTRACTOR <br />Contract: <br />No. <br />EFFECTIVE DATE: <br />OWNER's Contract No, ENGINEER's Contract No's. 0803. 0837. 0838 <br />ENGINEER Indian River County <br />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: <br />Description Amount <br />Original Contract Price $ <br />Net Increase (Decrease) from $ <br />previous Change Orders No. <br />to <br />Contract Price prior to this $ <br />Change Order: <br />Net increase (decrease) of this $ <br />Change Order: <br />Contract Price with all approved $ <br />Change Orders: <br />ACCEPTED: <br />By: <br />CONTRACTOR (Signature) <br />Date: <br />CHANGE IN CONTRACT TIMES <br />Description <br />Time <br />Original Contract Time: <br />(days or dates) <br />Substantial <br />Completion: <br />Final <br />Completion: <br />Net change from previous Change <br />Orders No. to <br />(days) <br />Substantial <br />Completion: <br />Final <br />Completion: <br />Contract Time prior to <br />this Change <br />Order: <br />(days or dates) <br />Substantial <br />Completion: <br />Final <br />Completion: <br />Net increase (decrease) this <br />Change Order: <br />(days or dates) <br />Substantial <br />Completion: <br />Final <br />Completion: <br />Contract Time with all <br />approved <br />Change Orders: <br />(days or dates) <br />Substantial <br />Completion: <br />Final <br />Completion: <br />RECOMMENDED: <br />By: <br />ENGINEER (Signature) <br />Date: <br />APPROVED: <br />By: <br />OWNER (Signature) <br />Date: <br />00942 - Change Order Form REV 04-07 <br />00942-1 <br />FAEngineering\Capital Projects10803 17th Lane SW Roadway Improvements from 27th Ave to approx. 900 LF east of 27th Ave\0803 Contract Documents100942 - Change <br />Order Form REV 04-07.doc Rev. 05/01 <br />