CHANGE ORDER

D A T E :
PROJECT NO.:

January 31, 1999

CHANGE ORDER NO. :

PROJECT :
LOCATION :
TRADE CONCERNED :

Architectural

TO :

Structural

Electrical
Mechanical

FROM :

Sanitary

ARCHITECT

Fire Protection

Others

You are hereby directed to make the following changes in this contract.
The date of completion will be :

The contract sum will be :

ORIGINAL DATE :

January 31, 1999

Increased by : P

Increased by :

DAYS

Decreased by : P

Decreased by :

DAYS

ORIGINAL AMOUNT

January 31, 1999

The new date of completion :

The new contract sum : P

ACKNOWLEDGED / RECEIPT
By :
Date :

January 31, 1999

Date :

January 31, 1999

COPIES TO :

Owner
Architect

Contractor
Consultant

Project Manager
Others