EXTRA WORK ORDER
EXTRA WORK NO.: ________________ DATE: _________________________
FROM: ___________________________ ______________________
(CONTRACTOR'S NAME) (PROJECT)
___________________________ _____________________
(CONTRACTOR'S ADDRESS) (LOCATION)
___________________________ ________________________
(CITY, STATE, ZIP) (JOB
NUMBER)
___________________________
(TELEPHONE)
TO:
__________________________
(OWNER'S NAME)
__________________________
(OWNER'S ADDRESS)
__________________________
(CITY, STATE, ZIP)
__________________________
(TELEPHONE FAX)
*********************
EXTRA WORK ORDER APPROVED:
BY: ____________________________
BY: ____________________________
This EXTRA WORK ORDER includes all material, labor
and equipment necessary to complete the following work:
____________________________________________
[ ] The work below to be paid for at actual cost of
labor, materials and equipment plus _______ percent ( ___% ).
[ ] The work below to be completed for the sum of
______________________________ dollars ( $ __________ ).
WORK DESCRIPTION
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________ The work
covered by this order shall be performed under the same Terms and Conditions as
that included in the original contract unless stated otherwise above.
Submitted: _____________________ Customer Approval:
__________________
(Contractor)
(Owner)
Date: __________________________ Date:
_________________________
