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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.

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