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Contract Change Order No.: P P N - C C N - A D

This document is a contract change order for a construction project. It describes changes to the original contract between the contractor and client. The change order provides details of the work covered, any associated costs or credits, and requires signatures of approval from the contractor, architect, accounting officer, and client. Upon completion, it formally amends the original contract.

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jmlaforteza
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60 views

Contract Change Order No.: P P N - C C N - A D

This document is a contract change order for a construction project. It describes changes to the original contract between the contractor and client. The change order provides details of the work covered, any associated costs or credits, and requires signatures of approval from the contractor, architect, accounting officer, and client. Upon completion, it formally amends the original contract.

Uploaded by

jmlaforteza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PROJECT PROJECT NO.

CONTRACTOR CONTRACT NO.

ARCHITECT DATE

CONTRACT CHANGE ORDER NO.


Note: Give complete description of work. The documents supporting this Change Order, including any drawings and estimates of cost, are referenced hereon and made a part hereof. (Reference
change proposal number, cost request bulletin number, field instruction number, change order request number, and any other documents as applicable. A copy of each shall be attached to the
Trustees’ copy of this Change Order.)
C C Days
C R F O Description Extra Credit Ext.
P B I R
# # # #
$ $

Execution of this change order represents full and final costs of all direct, indirect,
and delay costs for the scope of services identified hereon unless noted otherwise.
TOTALS $ $
I hereby certify upon my own personal knowledge that budget funds are available for this encumbrance.

ACCOUNTING OFFICER Date

APPROVAL RECOMMENDED Net Extra........$0

or
ARCHITECT (Architect approval not applicable to design-build project) DATE Net Credit.......$0
CONTRACTOR AGREEMENT
The undersigned hereby agrees to the above-described amendment of the contract. Calendar days time extended: 0

Revised Completion Date:


(Legal firm name of Contractor)
COPIES TO:

SIGNATURE TITLE DATE • Construction Administrator


Note: The Contractor's name shall be as listed on the contract. All signatures must be signed in ink. • Contractor
• Architect/Engineer
TRUSTEES’ APPROVAL • University
• Project Manager or
Construction Inspector
APPROVED ($0 TO $20,000) TITLE DATE • Other (specify):

APPROVED ($20,001 TO $100,000) TITLE DATE

APPROVED ($100,001 +) TITLE DATE

Construction Mgmt.
703.04 • 9/13

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