Change Order
Construction Company
Date:
Address
Owner:
City, State, ZIP
Contractor:
Phone Number
Project name:
Change order number:
Original contract date: ____________________
You are directed to make the following changes in this contract:
The original contract sum was: $
Net amount of previous change orders:
Total original contract amount plus or minus net change orders:
Total amount of this change order:
The new contract amount including this change order will be:
The contract time will be changed by the following number of days: ( ) Days
The date of completion as of the date of this change order is:
Contractor: Owner:
Company name Name
Address Address
City, State, Zip City, State, Zip
Date Date
Signature
Signature