Okaloosa County BOCC — April 15, 2014 — Change Order #2 - unexecuted form

CHANGE ORDER FORM Date: 04/04/14 Contract No.: _C12-1955-WS Change Order No.: _2 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: +$193,820.00 Present Contract Price: $482,203.00 This Change Order will (add/atexcttxot) : +$636,408.73 New Contract Price: $1,118,611.73 CHANGE TO CONTRACT TIME DESCRIPTION DATE or NUMBER OF DAYS Original Contract Time: Annual Contract with Auto Renew Original Substantial Completion Date: May 24, 2014 Net change by previously authorized Change Orders: aa This Change Order will (add/deatet): 0 days New Contract Time: Annual Contract with Auto Renew r 1 New Substantial Completion Date: MEY 28, 2058 Dew Eeieisek Nesivts . APPROVALS REQUESTED BY: DATE: Y/ 8/ 2.014 PROJECT ENGINEER: DATE: U/- UZ Y re a a | CONTRACTOR: DATE: Lf ra LY 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.