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6 <br />Change order Form <br />DATE OF ISSUANCE: <br />OWNER: Indian River County <br />CONTRACTOR Wells and Water Systems Inc <br />Contract:UCP 2422 <br />Project: North County Water Treatment Plant <br />OWNER's Contract No. 472-169000-08514 <br />ENGINEER PBS&J <br />No, 1 <br />EFFECTIVE DATE: <br />ENGINEER's Contract No. 2007044 <br />You are directed to make the following changes in the Contract Documents: <br />Description: <br />Construct 3 Additional Wells <br />Reason for Change Order: <br />Construct 3 Additional Wells <br />Attachments: (List documents supporting change) <br />Based on Unit Pricing plus 10% Discount <br />CHANGE IN CONTRACT <br />PRICE: <br />Description Amount <br />Original Contract Price $818.850.00 <br />Net Increase (Decrease) from $736.965.00 <br />previous Change Orders No. 0 <br />to 1: <br />Contract Price prior to this $818.850.00 <br />Change Order: <br />Net increase (decrease) of this $736.965.00 <br />Change Order: <br />Contract Price with all $.1,555.815.00 <br />approved Change Orders: <br />ACCEPTE� <br />By: <br />CONTRACTOR (Signature) <br />Date: 5 p <br />RECOMMENDED: <br />4GI <br />N ER (Signat(de) <br />Date: „� 2 0 b� <br />-R <br />59ROVED: <br />OW ER (Sig-hature <br />Sandra L. Bowden, Chairman <br />Date: June 17, 2008 <br />Change Order Form IR <br />30 <br />C:00cuments and Som e - <br />ngslBobDy �P�PHM DocumentsVChanye Cmlar Form IR.doc oc Rev. 05!0ft <br />1 <br />