HomeMy WebLinkAbout2003-027 SECTION 00942 - Change Order Form
No. 1 0 O-Q
DATE OF ISSUANCE: 1/22/03 EFFECTIVE DATE:1/22/03
OWNER: Indian River County
CONTRACTOR WCG, Inc.
Contract:
Project: Central WWTF Odor Control Upgrades ed
OWNER's Contract No. ENGINEER's Contract NO:
ENGINEER
tl.
You are directed to make the following changes in the Contract Documents:
Description:
C E v
Reason for Change Order: 2003
Addition of Fiberglass Reinforced Pipe (FRP) Couplings
Attachments: (List documents supporting change)
CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIMES
Description Amount Description Time
Original Contract Price $271,87 Original Contract Time: (days or dates)
.5:00 Substantial Completion:
Final Completion:
Net Increase (Decrease)from $0 Net change from previous Change
previous Change Orders No. Orders No. to (days)
to Substantial Completion:
Final Completion:
Contract Price prior to this $271.87 Contract Time prior to this Change
Change Order: 5.00 Order: (days or dates)
Substantial Completion:
Final Completion:
Net increase (decrease)of this $4.110.0 Net increase (decrease) this
Change Order: 0 Change Order: (days or dates)
Substantial Completion:
Final Completion:
Contract Price with all approved $275.98Contract Time with all approved
Change Orders: 5.00 Change Orders: (days or dates)
Substantial Completion:
Final Com letion:
It A
CC RECO NDE APPROVED:
Aaro Bo les Er Olson
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By: By,
(Signature) ENGINEER (SignatureOWNER (Signature)
� Date: l ZW03 Date: r7
00942-1 00942-Change Order Form.doc
FAUtilities\UTILITY-ENGINEERING\Projects-O&M Projects\Central W WTF WCG Improvements-UCP#2217\00942-Change Order Form.doc Rev.05/01