CONTRACT CHANGE ORDER
PROJECT:
Name: _______________________
Address: _________________________
City: __________
State: __________ Zip: _____
- _____
Telephone: (
)____ - _____ Extension:_____
Fax: ( )____ - ______
TO CONTRACTOR:
Name: _______________________
Address: ____________________________
City: ___________ State:_____________ Zip: _____ - ____
Telephone:( )____ - ____ Extension:_____
Fax:( )____ - _____
The contract is hereby modified and amended as
follows:
_____________________________________________________________________
_____________________________________________________________________ _____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
It is mutually agreed that the contract price dated
___________________, is increased/decreased by $ ___________________
payable/deductible immediately upon completion of the work called for in this
change order.
As a result of this change order, the time for
completion of the above-mentioned contract is hereby extended by an additional
_________ days. This change order is
incorporated into and governed by the above-mentioned contract and is
incorporated therein.
___________________________ ____________
CONTRACTOR'S SIGNATURE DATE
_______________________ _____________
OWNER'S SIGNATURE DATE
