Change Order

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

CHANGE ORDER

Change Order No.: {{change_order_number}}

Date: {{date}}

PROJECT INFORMATION

Project Name: {{project_name}}

Project Number: {{project_number}}

Original Contract Date: {{original_contract_date}}

Original Contract Value: {{original_contract_value}}

Client/Customer: {{client_name}}

DESCRIPTION OF CHANGE

This Change Order modifies the original contract as follows:

{{description_of_change}}

The revised scope of work is detailed in Attachment A, B, C (as applicable).

REASON FOR CHANGE

{{reason_for_change}}

This change is initiated due to {{initiating_party_name}}'s request/unforeseen circumstances/design clarification (select all that apply).

IMPACT ON CONTRACT PRICE

The original contract price of {{original_contract_value}} will be (increased/decreased) by {{amount_of_change}} ({{currency}}).

The new contract price will be {{new_contract_value}} ({{currency}}).

Payment terms for this change: {{payment_terms_for_change}}

IMPACT ON PROJECT SCHEDULE

The original project completion date of {{original_completion_date}} will be (extended/reduced) by {{number_of_days}} days.

The new project completion date will be {{new_completion_date}}.

AUTHORISATION AND ACCEPTANCE

The undersigned parties agree to the changes outlined in this Change Order and acknowledge that all other terms and conditions of the original contract remain in full force and effect.

Any work performed under this Change Order prior to full execution is at the risk of the Contractor.

SIGNATURES

FOR {{company_name}}:

_____________________________

Name: {{company_representative_name}}

Title: {{company_representative_title}}

Date: {{company_signature_date}}

FOR {{client_name}}:

_____________________________

Name: {{client_representative_name}}

Title: {{client_representative_title}}

Date: {{client_signature_date}}