Okaloosa County BOCC — July 7, 2015 — Change Order #2 Form

CHANGE ORDER FORM Date: 04/18/15 Coniract No.: C13-2066-WS Change Order No.: _2 Owner: __ OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS Contractor: Gulf Coast Underground, LLC CHANGE TO CONTRACT PRICE DESCRIPTION AMOUNT Original Contract Price: $46,195.00 Net change by previously authorized Change Orders: $74,835.00 Present Contract Price: $121,030.00 This Change Order will (add/SiKX): $198,865.00 New Contract Price: $319,895.00 CHANGE TO CONTRACT TIME DESCRIPTION DATE or NUMBER OF DAYS Maintenance Contract - Original Contract Time: Two year time period Original Substantial Completion Date: Through Sept. 30, 2015 Net change by previously authorized Change Orders: N/A This Change Order will (add/deduct): No time will be added/deducteq Maintenance Contract - New Contract Time: Two year time period New Substantial Completion Date: Through Sept. 30, 2015 ROVALS i o . \ AP , ) REQUESTED BY: \«Afl ;\‘ Lwfi,&\ DATE: __ 6 / 3// 24?'.5/ /“’\'//\ LN T DATE: "U’L'W//i - Spencer Toell DATE: A\oy]l 26'. 2018 OWNER: DATE: PROJECT ENGINEER: § CONTRACTOR: This Change Order is an amendment to the Confract/Agreement between Contractor and the Owner, and all other contract provisions shall remain in full force and effect unless specifically amended in writing, signed by both parties.