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Okaloosa County BOCC — 2013 meeting #1182 (date undetermined) — Change Order #1 form — reading text
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CHANGE ORDER FORM
Date: 11/19/2013 Contract No.: C13-2066-WS __ Change Order No.:_1
Owner: ___ OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS
Contractor: Gulf Coast Underground, LLC
_ CHANGE TO CONTRACT PRICE oe
DESCRIPTION AMOUNT
Original Contract Price: $46,195.00
Net change by previously authorized Change Orders: $0.00
Present Contract Price: $46,195.00
This Change Order will (add/deduct): $74,835.00
New Contract Price: $121,030.00
. _ CHANGETOCONTRACTTIME ==
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): Nes ea Re aaeea ae auees
Maintenance Contract -
New Contract Time: Two year time period
New Substantial Completion Date: Through Sept. 30, 2015
. —_ ; APPROVALS
REQUESTED BY: Jel \, [ Av a ) DATE: | | | jh | 2013
OAM RAS — owe)
PROJECT ENGINEER:__\\_//- Al
contpacror ae — Ll pate:__/ Lf &/ [3
OWNER: DATE:
This Change Order is an amendment to the Contract/Agreement between Contractor and the
Owner, and ail other contract provisions shall remain in full force and effect unless specifically
amended in writing, signed by both parties.