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Project

No.

Employer:
Contractor:
CHANGE ORDER NO. (
From

To

Al Amar Consulting Group

Reference :
The following changes are hereby made to the Contract Documents:

Change Order Justification:

Change to Contract Price:

Original Contract Price:


Current Project Price, as adjusted by previous changes orders :

The Project Price due to this Change Order will increase (decrease) by *: ..

The New Project Price due to this Change Order will be :

Change to Contract Time:

The Project time will increase/decrease by:

calendar days.

The date of completion of all work under the Contract will be :

20

[* Summary attached]
Distribution
Original to Contractor
cc: Employer
cc: Al Amar (CSD)
cc: Al Amar (Site Office )

Ordered by: Al Amar


Name:
Title:
Signature:
Date:

Rev (0) 7/2010


F-AMG-PR-13-14

Change to Contract Time:

The Project time will increase/decrease by:

calendar days.

The date of completion of all work under the Contract will be :

20

[* Summary attached]
Distribution
Original to Contractor
cc: Employer
cc: Al Amar (CSD)
cc: Al Amar (Site Office )

Ordered by: Al Amar


Name: .
Title: ..
Signature: ..
Date: ..

Rev (0) 7/2010


F-AMG-PR-13-14