Change Order

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

CHANGE ORDER

Change Order Number: {{change_order_number}}

Date: {{date}}

Original Contract Reference: {{original_contract_reference}}

Original Contract Date: {{original_contract_date}}

Parties Involved

Client/Customer Name: {{client_name}}

Client/Customer Address: {{client_address}}

Contractor/Service Provider Name: {{contractor_name}}

Contractor/Service Provider Address: {{contractor_address}}

Description of Change

The following changes are to be made to the original contract/project scope:

{{description_of_change}}

Impact on Contract Price

The original contract price of {{original_contract_price}} will be adjusted as follows:

Increase/Decrease Amount: {{price_adjustment_amount}} ({{price_adjustment_type}})

New Contract Price: {{new_contract_price}}

Reason for Price Adjustment: {{reason_for_price_adjustment}}

Impact on Project Schedule

The original project completion date of {{original_completion_date}} will be adjusted as follows:

Extension/Reduction in Days: {{schedule_adjustment_days}} ({{schedule_adjustment_type}})

New Project Completion Date: {{new_completion_date}}

Reason for Schedule Adjustment: {{reason_for_schedule_adjustment}}

Terms and Conditions

All other terms and conditions of the original contract, unless specifically amended herein, remain in full force and effect.

This Change Order constitutes a written amendment to the original contract and shall be legally binding upon all parties upon signing.

Authorisation and Acceptance

Accepted and Agreed by:

For Client/Customer:

Name: {{client_authorised_name}}

Title: {{client_authorised_title}}

Signature: ______________________________

Date: ______________________________

For Contractor/Service Provider:

Name: {{contractor_authorised_name}}

Title: {{contractor_authorised_title}}

Signature: ______________________________

Date: ______________________________