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Change Order <br />No. <br />Date of Issuance: <br />11111-1-1- .. """-..._"_'_1"" <br />Project: Project No.: <br />_..... �_....... . .. . ............ ._. Date of Contract:....... �.... ...�... _. <br />Owner: <br />Contractor: <br />The Contract Documents are modified as follows upon execution of this Chane Order: <br />Description: <br />Justification: <br />CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIMES: <br />Original Contract Price: Original Contract Times: <br />Substantial completion days: <br />$ Substantial completion date: <br />[Increase] [Decrease] from previously [Increase] [Decrease] from previously approved Change Orc <br />approved Change Orders No. to No. No. to No. <br />Substantial completion days: �ITm IT <br />$ Substantial completion date: <br />Contract Price prior to this Change Order: Contract Times prior to this Change Order: <br />Substantial completion days: mmmm� <br />Substantial completion date: <br />[Increase] [Decrease] of this Change Order: <br />[Increase] [Decrease] of this Change Order: <br />Substantial completion days: <br />Substantial completion date: <br />Contract Price incorporating this Change <br />Order: Contract Times with all approved Change Orders: <br />Substantial completion days: ww_ <br />$ Substantial completion date: <br />RECOMMENDED: ACCEPTED: ACCEPTED: <br />By:.- .... By _ ... ....._ By ...._ _ .... <br />Engineer (Authorized Signature) Owner (Authorized Signature) <br />Date: Date: <br />51 <br />Contractor (Authorized Signatu <br />Date: <br />