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CITY OFSEBASTIAN CHANGE ORDER FORM
CHANGE ORDER Il: I
PURCHASE ORDER s:
PROJECT N.AAW CEa1 ETERI" ROAD A IV EXPAN.
PROJECT g: 20.08
CONTRT' OH: TIAI ROSE CONTRACTING.IXC. CONTACT NAME: TIN NOSE
CDDRESS: 1360 SW OLD DIXIE H\CV, 0106 CONTRACT DATEt OCTOBER 15,3020
VERO BEACH. FL 32962
By the signmure alLxed below. Moth the City end the Contractor agnue to the changes as stipulated herein. Ilpoll
proper execution of this doeumcm, 01e Contractor is hereby notified to commence uol A. All .hanWe Mntcd hclow
ate hereby Incorporated mid made a pan of the Contract idemified above, and all tile Icons mild conditions Of said
Coalract art enjoined end in full fom: while executing the change(s)>tipulated as lidlows:
DFSC'RIPTION: PREPARE TWO CEMETERY DIUMVAY SPRF.ACES AND OVP.RLAY W'frif I.2S'
DEPTH. SPEC 9.5 AWRALT CONCRETE.
AI CONTRA(I Paa"PPRWRT11MNVflA\fiE rN n.m
NF11NCiUsi IDIifRI AS01 RESULTING IROM 1'1118 C HANGI, }I1,990 to
NEII CONTRACT PHI( LINCLI'DINOTRISC I IANGE ORDER SMATl.un-I9.16`-
011 OMaAt T T IMF mtWR lr91111S ClUtwE NUAtHPR f9F DAYS, fit"EMm:R 11._I120 DI' SDI NE
NVlmCREAS DFfRFA5E1 RfSPl TIKri FROM 1'llle CIIMGHINUS1aFR AL nAI( .Ago NUCHANh
NEW( OMP: F110% D. V e. IS( LLDNU THIS CH014T OR 6SmER it.:, io
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CO "' -TOR: C.ITII OP SED/A.VIIAN:
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('Ity nlanryrr Awlori»Rlan-cumulath<amain, Ins than ISn of colonel price, or 515.000 single change order. --
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