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Unimark EC3000 Series Spezifikationen Seite 255

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EXHIBIT L
C:\Documents and Settings\/jointfilesconvert/494987/bgreenberg\Desktop\AIMS To Date\CO Page 1 Template.doc
Board of County Commissioners, Broward County, Florida
CHANGE ORDER
REGULAR
CHANGE ORDER NO.:
PROJECT TITLE:
BUDGET NO.:
REQUISITION NO.:
CONTRACT NO.:
PROJECT NO.:
PURCHASE ORDER NO.:
TO:
CONTRACTOR
THE FOLLOWING CHANGES ARE HEREBY AUTHORIZED upon approval of the County Administrator or Designee and
signature below:
DESCRIPTIONS OF CHANGES, REASONS THEREFORE, AND COST AND/OR TIME CHANGE FOR EACH:
COST BASIS:
Description of Change:
CONTRACT AMOUNT BEFORE THIS CHANGE: $
TOTAL CHANGE IN CONTRACT AMOUNT:
INCREASE $
DECREASE $
NO CHANGE
TOTAL CHANGE IN CONTRACT PERIOD:
ADD:
0
CALENDAR DAYS
DEDUCT:
0
CALENDAR DAYS
Signature:
New Contract Time: _______________ Days
New Contract Amount: $_____________________
Title:
Date:
RECOMMENDED BY:
(Agent(s) for Board)
ACCEPTED BY CONTRACTOR: (Unless separately
requested acknowledged in writing)
Signature:
Signature:
Title:
Title:
Date:
Date:
Signature:
APPROVED BY:
Title:
COUNTY ADMINISTRATOR OR DESIGNEE:
Date:
Signature:
Signature:
Title:
Title:
Date:
Date:
Exhibit 3
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