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Back to Forms for 'Contracts'.






Name: _______________________


Address: _________________________


City: __________     State: __________     Zip: _____ - _____


Telephone: (    )____ - _____ Extension:_____     Fax: (    )____ - ______




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




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