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Okaloosa County BOCC — June 17, 2014 — CHANGE ORDER FORM - BILL SMITH ELECTRIC — reading text
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CHANGE ORDER FORM
Date: 5-20-2014 Contract No.; C14-2145-WS Change Order No.: _001
Owner: __ OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS
Contractor. BILL SMITH ELECTRIC, INC.
CHANGE TO CONTRACT PRICE
DESCRIPTION AMOUNT
Original Contract Price: $201,207.00
Net change by previously authorized Change Orders: [$0.00
Present Contract Price: $201,207.00
This Change Order will (add/deduct): $0.00
New Contract Price: $201,207.00
CHANGE TO CONTRACT TIME
DESCRIPTION DATE or NUMBER OF DAYS
Original Contract Time: 9 ODAYS
Original Substantial Completion Date: 6/11/14
Net change by previously authorized Change Orders: _|ODAYS
This Change Order will (@ddydeduct): ADD 60DAYS
New Contract Time: 150DAYS
New Substantial Completion Date: 8/10/14
APPROVALS
REQUESTED BY: Tah Utell DATE: 6/4] Z0|4
PROJECT ENGINEER: DATE: uls\ 2O\4
CONTRACTOR: DATE: 4 June 2014
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.