Change Estimate Summary

Quotation to

Date

Address

Change Order Number

Address

Job Number

City, ST, ZIP

Attention
Job Name
Reference

A.

Material and equipment:

$ ____________________

B.

Sales tax:

$ ____________________

C.

Direct labor:

$ ____________________

D.

Indirect costs:

$ ____________________

E.

Equipment and tools:

$ ____________________

F.

Subtotal: ............................................................. $_____________________

G.

Overhead at _____ % of line F:

$ ____________________

H.

Subcontracts:

$ ____________________

I.

Overhead at _____ % of line H:

$ ____________________

J.
K.
L.

Subtotal .............................................................. $_____________________

Profit at _____ % of line J:

$_____________________

Subtotal: ............................................................. $ _____________________

M.

Bond premium at _____ % of line L:

$ ____________________

N.

Service reserve at _____ % of line L:

$ ____________________

O.

Total cost estimate, lines L thru N:

[ ] Add

[ ] Deduct

P.
Exclusions from this estimate:_____________________________________________________
___________________________________________________________________________________
Q.

[ ] This quotation is valid for _____ days.

R.

[ ] We require _____ days extension of the contract time.

S.

[ ] We are proceeding with this work per your authorization.

T.

[ ] Please forward your confirming change order.

Signed by _____________________________________________

Project Manager