Okaloosa County BOCC — March 4, 2014 — Change Order form

CHANGE ORDER FORM Date: 02/20/14 Contract No.: C12-1955-WS Change Order No.: _1 Owner: OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS Contractor, Insituform Technologies, LLC CHANGE TO CONTRACT PRICE DESCRIPTION AMOUNT Original Contract Price: $288,383.00 Net change by previously authorized Change Orders: $0.00 Present Contract Price: $288,383.00 This Change Order will (add/deduct): $193,820.00 New Contract Price: $482,203.00 CHANGE TO CONTRACT TIME DESCRIPTION DATE or NUMBER OF DAYS Original Contract Time: Maintenance Contract - Two year time period Original Substantial Completion Date: Through May 24, 2014 Net change by previously authorized Change Orders: N/A This Change Order will (add/deduct): No time will be added/deducted New Contract Time: Maintenance Contract - Two year time period New Substantial Completion Date: Through May 24, 2014 REQUESTED BY: DATE: __2+ } 20) LO1Y PROJECT ENGINEER: __\' DATE: MIA | AM : Sw ae CONTRACTOR: pLra ne DATE: 2/- ay, iane Partridge, rf ¢ OWNER: DATE: This Change Order is an amendment to the Contract/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.