Contract Date: ______________________

Project Manager: _________________________

Contract #: _________________________

Contractor License #: ___________________

CONTRACT CHANGE ORDER

Date: _______________________________

Change Order No: _________________________

Further to the contract dated the ______ day of ______________________, ___________ (the Contract)
between ______________________________ (the Contractor) and __________________________________
(the Owner) with a Contract Price of $_____________________ on the property located at
_________________________________________________________________________ (the Property) , the
Contract is hereby modified and amended as follows:
Change Requested:

Price
Increase/Decrease
$
$
$
$
$
$
$
$
$
$
$

Total Amount of Contract Price Increase/Decrease (including labor &

materials):

-2The above change(s) were requested by the owner/contractor (choose one) for the following reason(s):

The Contract completion date shall be extended/reduced (choose one) by _________ days as a result of this
Change Order. The Contract completion date is now the _____ day of _____________________, _________.

This Change Order is governed by the Contract and is incorporated therein.

Approved by Contractor and Owner this ______ day of ______________________, __________

Contractor

Print Name

Owner

Print Name