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Okaloosa County BOCC — July 1, 2014 — Change Order #4 — reading text
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CHANGE ORDER FORM
Date: 6/23/14 Contract No: C-/4/-Z2!7)/ - HD Change Order No.:__7/
Owner: __ OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS
Contractor;_Jimm v Henderson IE Constcuction Inc.
CHANGE TO CONTRACT PRICE
DESCRIPTION AMOUNT
Original Contract Price: &R 943 rial “
Net change by previously authorized Change Orders: & 10, 737 ~
Present Contract Price: & loo, 551-
This Change Order will (add/deduct): # 730 ~
New Contract Price: * LOS, 30 |
CHANGE TO CONTRACT TIME
DESCRIPTION DATE or NUMBER OF DAYS
Original Contract Time:
Original Substantial Completion Date: 5/6 /Zoly
Net change by previously authorized Change Orders: AS days
This Change Order will (add/deduct): Z| days
New Contract Time:
New Substantial Completion Date: 7 /[z l / ! ed
APPROVALS
REQUESTED BY: J —f— pate: @/ 23/14
PROJECT ENGINEER: DATE:_ @/%2 3/144
1 é
CONTRACTOR: 22 aA DATE: S/Z23//%
OWNER: NO. DATE: ula |
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.
Signature Date
Okaloosa County Board of County Commissioners
Charles K. Windes, Jr., Chairman
JIMMY HENDERSON II CONSTRUCTION COMPANY, INC.
714-B Bob Sikes Boulevard, Fort Walton Beach, Florida 32547
(850) 864-5426 Fax (850) 864-5428
JimmyHendersonConst.com
License # CG-C062300
Proposal
Date: Friday June 20th, 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
We Propose to complete the following items at the above stated property location as per the following scope of
work.
Additional Pickets to be installed at ramps
Furnish and install wooden pickets to match existing at outside of both ramps... $750