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

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