CHANGEORDER

EXTRAWORKORDER

CUSTOMER: PROJECT:

Weherebyorderthefollowingchangeinthedescribedcontractororderthefollowingextraworkbeyond
thescopeofanyexistingcontract:(describeworktobeperformed)

Thecontractsumshallbeincreasedbyortheextraworkcontractamountshallbe:

TheFixedsumof$_______________.
$__________perhourofunskilledlabor,$__________perhourofskilledlabor,$__________
perhourofsupervisortimeexpendedtocompletethechange,plus115%ofthecostofall
materials.
Contractorsactualcost,includingpayrollandburdensforalllaborandsupervisors,plus15%.

If no precisemethod of adjustment hasbeen determined atthis time, then thecontractsumshallbeequitably

adjustedwithinthirtydaystocompensatethecontractorforthechangeatcontractorsstandardrates.Paymentfor
anychangeshallbeduebeforeworkbeginsandinnoeventlaterthanuponcompletionofthechangework.The
timeforcompletionofanyexistingcontractshallbeincreasedbytheestimated___daysrequiredtocompletethe
changeor byanequitableamountoftimeifnotimeestimate ispresently agreed. Thecontractor mayrequest
suitableverificationsoffundingforthischangeorextraworkorderbeforeworkcommencesormaterialsordered.

AUTHORIZATION:
Signature Date
__________________________________________________
(1990,2005)JamesD.Fullerton,Clifton,VA(703)8182600 www.FullertonLaw.com APPENDIX10