Project Change Order Form

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					Project Change Order Form
It is common for work projects to change in scope, the work to be completed,
deliverables, or costs. It is vital to get these change orders in writing to ensure that the
understandings of the both parties are properly set forth. Customize the type of project,
the change order, the change in costs, the change in time, and more. This form can be
used by individuals or small businesses that want to change the current terms of a
project.
                                     PROJECT CHANGE ORDER

                 Change Order Number: ___________ [Instructions: Insert Number]
                         Dated: ___________ [Instructions: Insert Date]


Project:                    _______________ [Instructions: Insert Project Title]
Project No.:                _______________ [Instructions: Insert Project No.]

Project Manager:            _______________ [Instructions: Insert Name]
                            _______________ [Instructions: Insert Address 1]
                            _______________ [Instructions: Insert Address 2]


Upon the complete execution of this order (the “Change Order”), the parties hereto agree to
change and modify the terms of the Project dated ___________________ [Instructions: Insert
Project Commencement Date] (the “Project”) and the Statement of Work annexed thereto (the
“SOW”), as each have been amended, along with any previously executed change order (each a
“Prior Change Order”), by the terms of this Change Order. In the event of any conflict or
inconsistency between the provisions of the Project and the SOW, as each have been amended,
and/or any Prior Change Order and this Change Order, the provisions of this Change Order shall
control and govern. Except as modified by this Change Order, the terms and conditions of the
Project, the SOW, as each have been amended, and all Prior Change Orders shall continue in full
force and effect.


1.       CHANGE

         a.       ___________ [Instructions: Describe a change in the work to be performed]

         b.       ___________ [Instructions: Describe a change in the work to be performed]

         c.       ___________ [Instructions: Describe a change in the work to be performed]


2.       COSTS

Costs Provided in Project/SOW:                                 $__________ [Instructions: Insert Amount]

Costs of All Prior Change Orders:                              $__________ [Instructions: Insert Amount]

Costs of this Change Order:                                    $__________ [Instructions: Insert Amount]




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                          Itemized Description of Cost for this Change Order

Description                                                                                Cost
___________ [Instructions: Insert Description]                                             $___________
___________ [Instructions: Insert Description]                                             $___________
___________ [Instructions: Insert Description]                                             $___________
___________ [Instructions: Insert Description]                                             $___________
___________ [Instructions: Insert Description]                                             $___________

Project Cost (including this Change Order):                    $__________ [Instructions: Insert Amount]

3.       TIME

This Change Order shall [Instructions: Choose one] increase // decrease the amount of time
required to complete the Project by ___________ (___) [Instructions: Insert Number] days.
All times and deadlines specified in the Project, the SOW and/or any Prior Change Orders are
hereby modified to take into account such required time.

IN WITNESS WHEREOF the parties have duly executed this Change Order as of the date first
written above.


PROJECT MANAGER                                                  SUPERVISOR/APPROVER
__________ [Instructions: Insert Name]                           ___________ [Instructions: Insert Name]



__________________________                                       __________________________
By: Authorized Signatory                                         By: Authorized Signatory




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DOCUMENT INFO
Description: It is common for work projects to change in scope, the work to be completed, deliverables, or costs. It is vital to get these change orders in writing to ensure that the understandings of the both parties are properly set forth. Customize the type of project, the change order, the change in costs, the change in time, and more. This form can be used by individuals or small businesses that want to change the current terms of a project.