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Okaloosa County BOCC — August 5, 2014 — Change Order 6 — reading text
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CHANGE ORDER FORM
Date: 723 [4% contract No.: C- /H-ZI71-HD _ change order No.: 6
Owner: __ OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS
Contractor: di mmy Henderson LE Cons teuction Inc.
CHANGE TO CONTRACT PRICE
DESCRIPTION AMOUNT
Original Contract Price: No Chang e&
Net change by previously authorized Change Orders:
Present Contract Price: 4 104 YS6 _
This Change Order will (add/deduct):
New Contract Price: 4 {OF 186 a
CHANGE TO CONTRACT TIME
DESCRIPTION DATE or NUMBER OF DAYS
Original Contract Time: 4-Qy- 14
Original Substantial Completion Date: 5 -I6- [ 4
Net change by previously authorized Change Orders: CS days
This Change Order will df deduct): Z days
New Contract Time: be (27 ays
New Substantial Completion Date: S ~ ll 7 /4
APPROVALS
Shaun Mar REQUESTED BY: — Ne DATE: (281 14
= = Sed
“eave ) hilo GBOIECT ENGINEER: Wiija DATE: 1s 14
bleroe CONTRACTOR: oe As VA Date: “ZB//¥
Tony hay
OWNER: DATE:
Charvies Ke Windes,3- Chairman
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.
JIMMY HENDERSON II CONSTRUCTION COMPANY, INC.
714-B Bob Sikes Boulevard, Fort Walton Beach, Florida 32547
(850) 864-5426 Fax (850) 864-5428
Jimmy HendersonConst.com
License # CG-C062300 2 yw
Change Order #6 W IN
Date: Monday July 28th, 2014
Owner: Okaloosa County Health Dept.
221 Hospital Dr.
Fort Walton Beach, FL 32548
Contact: Shaun May
Phone: (850) 699-4225
Property Location: Modular Building @ 221 Hospital Dr. NW
Reasoning for Contract Extension
« There was not enough vinyl delivered to complete room 9, additional flooring is being sent by the
manufacturer to be installed upon arrival.
