Change Order

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

CHANGE ORDER

**Change Order Number:** {{change_order_number}}

**Date Issued:** {{date_issued}}

**Original Contract Number:** {{original_contract_number}}

**Original Contract Date:** {{original_contract_date}}

Parties Involved

**Client/Customer:**

Name: {{client_name}}

Address: {{client_address}}

Contact Person: {{client_contact_person}}

Phone: {{client_phone}}

Email: {{client_email}}

**Contractor/Service Provider:**

Name: {{contractor_name}}

Address: {{contractor_address}}

Contact Person: {{contractor_contact_person}}

Phone: {{contractor_phone}}

Email: {{contractor_email}}

Description of Change

This Change Order formally modifies the original contract as follows:

{{description_of_change}}

**(Provide a detailed and clear description of the specific changes being made, referencing relevant sections or clauses of the original contract where applicable.)**

Impact on Scope of Work

The changes detailed above will result in the following impact on the scope of work:

{{impact_on_scope}}

**(Clearly state any additions, deletions, or modifications to the original scope of work.)**

Impact on Price/Cost

The agreed-upon adjustment to the original contract price due to this Change Order is:

**{{currency}} {{price_adjustment_amount}}**

The revised total contract price will now be:

**{{currency}} {{revised_total_contract_price}}**

**(Specify whether the adjustment is an increase or decrease. Provide a breakdown of costs if necessary as an attachment.)**

Impact on Project Schedule

The changes outlined in this Change Order will affect the project schedule as follows:

Original Completion Date: {{original_completion_date}}

Revised Completion Date: {{revised_completion_date}}

**{{number_of_days_extension}}** additional days are granted for project completion.

**(Indicate any extension or reduction in the project timeline.)**

Reason for Change

The reason for this Change Order is:

{{reason_for_change}}

**(State the circumstances or events that necessitated this change.)**

Authorization and Acceptance

By signing below, all parties acknowledge and agree to the terms and conditions set forth in this Change Order, which shall be incorporated into and become a part of the original contract.

Signatures

**For Client/Customer:**

_______________________________

Name: {{client_signatory_name}}

Title: {{client_signatory_title}}

Date: {{client_signature_date}}

**For Contractor/Service Provider:**

_______________________________

Name: {{contractor_signatory_name}}

Title: {{contractor_signatory_title}}

Date: {{contractor_signature_date}}