A contractor’s change order form is a document that shows extra work done by the contractor that may not be indicated on the initial contract between the contractor and the client. It contains a description of the extra work and materials used, the time consumed, extension date and the new cost as a result of the extra work.
This form comes in handy as it shows that the extra work was done with the authorization of the client, hence it helps to avoid disputes or misunderstanding when claiming for compensation.
Sample Contractor Change order form Template
FORM NO
Construction Change Order No.
Date: …………………………………………..Contract No………………………………………………… SC No.
Project :…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
REASON AND DESCRIPTION OF CHANGE:…………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
Personnel, who proposed, authorized and approved changes.
Name……………………………………..Sign………………………………………..
Name……………………………………..Sign………………………………………..
Name……………………………………..Sign………………………………………..
Proposed modifications made to the project:
……………………………………………………………………………….
………………………………………………………………………………..
………………………………………………………………………………
New list of materials for implementing change:
Description……………………………..Quantity……………………………………….. Cost………………………………….
Description……………………………..Quantity……………………………………….. Cost………………………………….
New Personnel List
Name……………………………………………Duty…………………………………
Wages…………………………………
Name……………………………………………Duty…………………………………
Wages…………………………………
Time to be consumed……………………………………………………………………………………………………
Time to be added on…………………………………………………………………………………………………….
Date of Change Execution………………………………………………
Date of Change Completion……………………………………………
I hereby confirm that the above description of work and materials used is in compliance with the contract requirements and agreement.
Contractor Sign……………………………………..
INITIAL CONTRACT DURATION………………………………… ORIGINAL AMOUNT……………………………….
NEW CONTRACT DURATION……………………………………NEW CONTRACT PAYMENT……………………
Contractor Signature……………………………………Date …………………………
Client Signature…………………………………………….Date………………………….
Download Contractor Change order form in Word Format
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