HomeMy WebLinkAbout2026-111SECTION 00942 — Change Order Form
DATE OF ISSUANCE: 6/2/26
OWNER:
CONTRACTOR
Project:
OWNER's Project No.
OWNER'S Bid No.
Indian River County
INDIAN RIVER DOCKS
FIRE STATION 2 DOCK
CP -2533
2025049
No. 1
EFFECTIVE DATE: 6/2/26
You are directed to make the following changes in the Contract Documents:
Description:
Reason for Change Order: This project is complete. This change order is intended to make final
adjustments to the bid line and items and time to finalize the contract.
Attachments: Pay application #5
CHANGE IN CONTRACT PRICE:
Description
Amount
Original Contract Price
$211,879.75
Net Increase (Decrease) from
$0
previous Change Orders No.
to
Contract Price prior to this
$211,879.75
Change Order:
Net Increase (decrease) of this
($173.49)
Change Order:
Contract Price with all approved
$211,706.26
Change Orders:
ACCEPTED:
By- -�
C R CTOR (Signature)
Date: �, -o? —od
CHANGE IN CONTRACT TIMES
Description
Time
Original Contract Time:
(days or dates)
Substantial Completion:
Final Completion:
Net change from previous Change
Orders No. to
(days)
Substantial Completion:
Final Completion:
Contract Time prior to this Change
Order:
(days or dates)
Substantial Completion:
Final Completion:
Net increase(decrease)this Change
Order:
(days or dates)
Substantial Completion:
_
Final Completion:
Contract Time with all approved
Change Orders:
(days or dates)
Substantial Completion:
Final Completion:
RECOMMENDED:
Rob Skok Lc.-=="
PROJECT MANAGER (Signature)
Date:
APPRO ED:
By:4 K/19
OVAER ( ig/nature)
Date:l
Change Order Form — 00942