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2016 Edition <br /> SE-380 CHANGE ORDER NO.: 10 <br /> CHANGE ORDER TO CONSTRUCTION CONTRACT <br /> AGENCY: Lee County Government <br /> PROJECT NAME: Lee County Government Center Parking Lot Project <br /> PROJECT NUMBER: 4838-02R-21 <br /> CONTRACTOR: Bar Construction Co.Inc. CONTRACT DATE:8/16/2021 <br /> This Contract is changed as follows:(Insert description of change in space provided below) <br /> COR 010-Additional Grading and Landscaping $1,320.00 <br /> ADJUSTMENTS IN THE CONTRACT SUM: <br /> 1. Original Contract Sum: $323,000.00 <br /> 2. Change in Contract Sum by previously approved Change Orders: $71,501.19 <br /> 3. Contract Sum prior to this Change Order $394,501.19 <br /> 4. Amount of this Change Order: $1,320.00 <br /> 5. New Contract Sum,including this Change Order: $395,821.19 <br /> ADJUSTMENTS IN THE CONTRACT TIME: <br /> 1. Original Substantial Completion Date: <br /> 2. Sum of previously approved increases and decreases in Days: 0 Days <br /> 3. Change in Days for this Change Order 0 Days <br /> 4. New Substantial Completion Date: <br /> CONTRACTOR ACCEPTANCE: <br /> BY: Date: <br /> (Signature of Representative) <br /> Print Name: <br /> A/E RECOMMENDATION FOR ACCEPTANCE: <br /> BY: ',d°e'!fa ., ,ve Date: 05/17/2022 <br /> (Signature of Representative) <br /> Print Name: Robert Williams.PE <br /> AGENCY ACCEPTA E A- ND-IF1CATION: ` }� moi` <br /> BY: mak' ��ial,_J �/ Date: (!1 '�(� '1�l? .___ <br /> egnature - r• entative) <br /> Prin e: r✓/,a, 6- I i Ai. <br /> v <br /> Change is within Agency Construction Contract Chan!, 'rder Certification of: $ Yes 0 No 0 <br /> Office of the State Engineer Authotition forl1s,age exceeding Agency Construction Contract Change Order Certification: <br /> AUTHORIZED BY: / DATE: <br /> SUBMIT THE FOLLOWI ,,TO OSE <br /> I. SE-380,fully completed and signed by the Contractor,A/E.and Agency; <br /> 2. Detailed back-up information from the Contractor/Subcontractor(s)that justifies the costs and schedule changes shown. <br /> 3. If any item exceeds Agency certification,OSE will authorize the SE-380 and return to Agency. <br /> This instrument has been preaudited in the <br /> manner required by the Local Government <br /> Budget and Fiscal Contract Act. SE-380c <br /> finance Officer, ee County <br />