Change Order
A signed change to the work, the contract price, and the schedule
Change order number | [Number] |
|---|---|
Project | [Project name and address] |
Contract date | [Date of original contract] |
Owner | [Name] |
Contractor | [Company] |
Architect or engineer | [Name, if any] |
Date | [Date] |
Description of the change
[Say exactly what is added, removed, or changed, with locations and drawing references. For example: Replace the specified vinyl plank flooring in Rooms 104 to 108 with porcelain tile, about 820 sq ft, per the owner's selection dated ___.]
Reason
Owner request
Condition found on site that was not shown on the drawings
Design change or correction
Required by code official or inspector
Other: [describe]
Related documents | [RFI number, directive, drawing or bulletin, dated ___] |
|---|
Cost of the change
Pricing method
Lump sum
Unit prices
Time and materials, not to exceed [$]
Item | Quantity | Unit | Unit cost | Amount |
|---|---|---|---|---|
[Labor: tile installation] | [820] | [sq ft] | [$] | [$] |
[Materials: porcelain tile and setting materials] | [$] | |||
[Equipment: tile saw rental] | [$] | |||
[Subcontractor: name and trade] | [$] | |||
[Less: deleted vinyl plank, labor and materials] | [-$] | |||
Subtotal | [$] | |||
Overhead and profit at [__]% | [$] | |||
Bond and insurance at [__]%, if the contract allows | [$] | |||
Total of this change order | [$] |
Contract sum
Amount | |
|---|---|
Original contract sum | [$] |
Net change from previous change orders | [$] |
Contract sum before this change order | [$] |
This change order (increase or decrease) | [$] |
New contract sum | [$] |
Contract time
Date or days | |
|---|---|
Completion date before this change | [Date] |
Change in contract time | [+/- number] days |
New completion date | [Date] |
Terms
Work on this change starts only after everyone below has signed.
Once signed, this change order is part of the contract. The price and time above are the full adjustment for this change, unless it says otherwise here: [exceptions].
The contractor bills this change with the next progress payment, unless it says otherwise here: [payment terms].
All other terms of the contract stay the same.
Name and title | Signature | Date | |
|---|---|---|---|
Owner | [Name] | [Signature] | [Date] |
Contractor | [Name] | [Signature] | [Date] |
Architect or engineer | [Name] | [Signature] | [Date] |