Change Order

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{company_phone}}

Email: {{company_email}}

Website: {{company_website}}

CHANGE ORDER No: {{change_order_number}}

Date: {{date}}

Original Contract Date: {{original_contract_date}}

Project Name: {{project_name}}

Original Contract Reference: {{original_contract_reference}}

Client Name: {{client_name}}

Client Address: {{client_address}}

DESCRIPTION OF CHANGE

This Change Order details modifications to the original contract as follows:

{{description_of_change}}

Reason for Change: {{reason_for_change}}

IMPACT ON SCOPE OF WORK

The following changes are to be made to the Scope of Work outlined in the original contract:

Additions: {{scope_additions}}

Deletions: {{scope_deletions}}

Modifications: {{scope_modifications}}

IMPACT ON PROJECT SCHEDULE

The estimated impact of this change on the project schedule is as follows:

Original Completion Date: {{original_completion_date}}

Revised Completion Date: {{revised_completion_date}}

Extension/Reduction in Days: {{schedule_impact_days}}

IMPACT ON CONTRACT PRICE

The financial impact of this change on the contract price is as follows:

Original Contract Price: {{original_contract_price}}

Increase/Decrease Amount: {{price_change_amount}}

Revised Contract Price: {{revised_contract_price}}

Payment Terms for Change Order Amount: {{payment_terms_change_order}}

TERMS AND CONDITIONS

Except as specifically amended by this Change Order, all other terms and conditions of the original contract remain in full force and effect.

This Change Order shall be binding upon execution by both parties.

Any disputes arising from this Change Order shall be resolved in accordance with the dispute resolution clauses of the original contract.

AUTHORISATION AND ACCEPTANCE

The undersigned parties agree to the terms and conditions of this Change Order. This Change Order is hereby incorporated into and made a part of the original contract.

Signature Block

For {{company_name}} (Service Provider/Contractor):

Name: {{service_provider_name}}

Title: {{service_provider_title}}

Signature: _________________________

Date: _________________________

For {{client_name}} (Client):

Name: {{client_representative_name}}

Title: {{client_representative_title}}

Signature: _________________________

Date: _________________________