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Change Order <br />No. <br />Date of Issuance: <br />Project: <br />Owner: <br />Contractor: <br />No.. <br />of Contract; <br />The Contract Docaments are modified $s follows u on ezecution of this Chan e Order: <br />Description: <br />Justi6cation: <br />CHANGE IN CONTRACT PRICE: CIiANGE IN CONTRACT TIIVIES: <br />Original Contract Price: Original Contract Times: <br />Substantial completion days: <br />$ Substantial completion date: <br />[Increase] [Decrease] from previously approved [Jncrease] [Decrease] from previously approved Change Orders <br />Change Orders No. to No. No. to No. <br />$ <br />Contract Price prior to this Change Order: <br />$ <br />[Increase] [Decreasel of this Change Order: <br />$ <br />Substantial comple6on days: <br />Substantial completion date: <br />Contiact Times prior to this Change Order: <br />Substantial completion days: <br />Substantial completion date: <br />Ilnereasel f Decreasel of this Change Order: <br />Substantial completion days: <br />Substantial completion date: <br />Contract Price incorporating tlus Change Order: Contract Times with all approved Change Orders: <br />Substantial completion days: <br />$ Substantial completion date: <br />RECONIlIENDED: ACCEPTED: ACCEPTED: <br />By: <br />Engineer (Authoriud Signature) <br />Date: <br />By: <br />Owner (Authorized Signahu+e) <br />Date: <br />sy: <br />Conftctor (Auttâ–ºorized Signattue) <br />Date: <br />39 <br />