changeorders

Change Order Form

Not valid until signed by the Contractor, Construction Manager (if any), Designer and Owner.

	Change Order Number:		……………...........………….…..
	Date:		…………/……..……/…………..

	Contractor’s Name:		…………………………………..
	Address:		…………………………………..
	Telephone:		…………………………………..

	Owner’s Name:		…………………………………..
	Address:		…………………………………..

	Project Address:		…………………………………..

The Contract is changed as follows:

	The original Contract Sum was		.……………$
	Net change by previously authorized Changed Orders		…………… $
	The Contract Sum prior to this Change Order was		…...………. $
	The Contract Sum will be (increased) (decreased)
	(unchanged) by this Change Order in the amount of		………..….. $
	The new contract Sum including this Change Order will be		………………….. $

The Contract Time will be/is (increased) (decreased) (unchanged) by ………………….days.

The Date of Substantial Completion as of the date of this Change Order therefore is:.../.…/.….

NOTE: This summary does not reflect changes in the Contract Sum or Contract Time which have been Authorized by Construction Change Directive if any.

Reason for Change Order:

( ) Design modification

( ) Field Condition

( ) Other

Payment:

Payment for this Change Order is due upon completion of this Change Order work and submittal of an invoice by the Contractor.

Incorporation:

This Change Order by agreement of the Owner and Contractor with the approval of the Designer is incorporated by reference into the Construction Agreement between the Owner and the Contractor. All terms of the operative Agreement between the parties shall continue to be in effect and apply to this Change Order

I have read and understood this Change Order, and I agree to all its terms.

Date:………………. ………………………………………………..………

CONTRACTOR’S SIGNATURE

Date……………….. ……………………………………………..…………

OWNER’S SIGNATURE

Date:………………. …………………………………………...……………

DESIGNERS SIGNATURE

Attachments ……………………………………………………………………………………………