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CHANGE ORDER APPROVAL FORM - Nassau Clerk

CHANGE ORDER APPROVAL FORM - Nassau Clerk 2026

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The document is a Change Order Approval Form for the CR1151 Old Dixie Highway project, detailing an amendment to the contract with Wilbur Smith Associates for continued Construction Engineering Inspection (CEI) services. It specifies an additional cost of $41,541.90 due to significant extensions in construction time, with new completion dates set for March 12, 2010, and April 14, 2010. The total contract sum after this change order will be $315,196.62, while the contract time remains unchanged.

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Click ‘Get Form’ to open the CHANGE ORDER APPROVAL FORM in the editor.
Begin by entering the project name, 'CR1151 Old Dixie Highway', in the designated field at the top of the form.
Fill in the 'CHANGE ORDER NUMBER' and 'DATE' fields accurately to ensure proper tracking of this change order.
In the 'TO CONTRACTOR' section, input the contractor's name, which is Wilbur Smith Associates, along with their contract number.
Clearly state the 'Reason for Change Order', detailing any financial adjustments and timelines as specified in your documentation.
Complete the financial sections by entering amounts for 'Original Contract Sum', 'Net Change by Previous Change Order', and 'Amount of This Change Order'.
Finally, ensure all required signatures are added in the 'APPROVED BY' sections before saving or sending your completed form.

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