Project :

No. :
Employer:
Contractor:
CHANGE ORDER NO. ( )
From :
To :
Reference:

· The following changes are hereby made to the Contract Documents :

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· Change Order Justification :

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· Change to Contract Price :

Original Contract Price: ………………………………………………………………

Current Project Price, as adjusted by previous changes orders :

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The Project Price due to this Change Order will increase (decrease) by *: ………..
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The New Project Price due to this Change Order will be :
……………………………
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· Change to Contract Time:

The Project time will increase/decrease by: calendar days.

The date of completion of all work under the Contract will be : 20 .

[* Summary attached]
Distribution Ordered by:

Original to Contractor Name: ………

cc:
cc: Title: …………
cc:
Signature: ………

Date: ……………
· Change to Contract Time:

The Project time will increase/decrease by: calendar days.

 The date of completion of all work under the Contract will be : 20 .
[* Summary attached]
Distribution Ordered by:

Original to Contractor Name: ………………….

cc:
cc: Title: …………………..
cc:
Signature: ……………..

Date: …………………..