CHANGE ORDER
(Instructions on reverse side) No.
-- PROJE.'T: FACADE QF,uDoRTton~ DATE OF ISSUANCE: Sa+„arr ZdI (497
OWNER: Kerr Cep+~'
(Name, )OD RAIN 'sTR~ET'
Address) Y,ERR~t~IE TX ~ Y024
CONTRACTOR: p 1 OWNER's Pro}ec[ No.
M; d ~.e..~~,•.itJ.~o.1 tStS'~oral~u-~ ~e,2+~.
40D Ca.s~ N,.Jse,.t P.0. Qex 42q ENGINEER: VOrdt.~yG.J+- E,,.k.t..te/`„~.', 1
fi+ Ste+i ICS GG701 501 ~ Eo.tt µ,~L.w. 5~-.ea~'
CONTRACT FOR: 1-x ~ 7 9 G 2 4
Kerr Co..~~~, Le,a~-~~ns,+se F>caat fin~A1Qr-~cksS~
Sfs~,l~i~'IIo+~Re`.evo.~~o•. ENGINEER'sPtnjectNo. 9GZ'S
You are directed to make the following changes in the Contract Documents.
Description: qda Vo~~w~a...~ r~~~~iCertnb ~r""';'~! S'L.1
Purpose of Change Order: ~d~ Re',,,,{orcec~ ~.a+crC'~e bee.,.. 'Fv ex,s'E~~~, Dorr/~. ~
Colsa a+~s. S'4 ru c~u•-e,
Attachments: (List documents supporting change)
CHANGE 1N CONTRACT PRICE:
Original Contract Price
E I14, 49O.OC~	CHANGE IN CONTRACT TIb1E:
Original Contract Time
I ZO aay s
	aiY, er date
previous Change Orders No. to No.
5	Net change from previous Change Orders
~'
	ear.
Contract Price prior [o this Change Order
s (1(~ 490,00	Contract Time Prior [o this Change Order
12i9 do.~s
	d.r. or da,e
Net Increase (decrease) of [his Change Order
~ 90 . b0
a )	Net Increase (decrease) of this Change Order
~
y	aer,
Contract Price with all approved Change Orders
2.70. ~~
IZl	Contrasct Time w11ith all approved Change Orders
140 ~y a.~ $
)	drysor da,e
RECOMMENDEAD: / APPROVED: ~~~ APPROVED:
by u~ t~LreUt~Gsr~- by LLLtr!~L~
Eryneer ~` a Convector
EJCDC No, 1910.8-B (1983 Edition)
Preyared by the Engineers' ]aint Conllac[ Documents Committee and endorsed by Th˘ Assonated General Contractors oC America.
CHANGE ORDER
INSTRUCTIONS
A. GENERAL INFORMATION
This document was developed to provide a uniform format for handling contract changes
that affect Contract Price or Contract Time. Changes that have been initiated by a Work
Directive Change must be incorporated into a subsequent Change Order if they affect
Price or Time.
Changes that affect Contract Price or Contract Time should be promptly covered by a
Change Order. The practice of accumulating change order items to reduce the adminis-
trative burden may lead to unnecessary disputes.
For supplemental instructions and minor changes not involving a change in the Contract
Price or Contract Time, a Fietd Order may be used.
B. COMPLETING THE CHANGE ORDER FORM
Engineer initiates the form, including a description of the changes involved and attach-
ments based upon documents and proposals submitted by Contractor, or requests from
Owner, or both.
Once Engineer has completed and signed the form, all copies should be sent to Contractor
for approval After approval by Contractor, all copies should be sent to Owner for
approval. Engineer should make distribution of executed copies after approval by Owner.
If a change only applies to price or to time, cross out the part of the tabulation that does
not apply.
													
																
																	
																	
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