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Okaloosa County BOCC — March 4, 2014 — Change Order form — reading text
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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.