Construction Change Order Template

• Change Order No.

• Contract No.

• Job Name/ Number

• Job Location
  Address

• Change Requested By

• Date

  Date

• To (whom this is addressed)

• We, hereby agree to make the following change(s):

Construction Plan

• Add Construction Plan

work

• Work title

• Describe work to be done

• Reason for alterations

  Unexpected Site Condition (i.e weather)

  Error in drawings or plans

  Additional Work

  Other

• Please Specify

• Take photo evidence of item/areas to modify

  Media

• List down estimated cost of labor and the necessary materials needed

• Estimated Total of Costs

• Time extension (if any)

Completion

• THIS CHANGE ORDER BECOMES PART OF AND IN CONFORMANCE WITH THE EXISTING CONTRACT

• We hereby agree to make the change(s) specified above at the price indicated per this Change Order.

• Name & Signature of Authorized Contractor

  Sign

• The prices and specifications of this Change Order are satisfactory and are hereby accepted. All work is to be performed under the established terms and conditions specified in the original contract unless otherwise specified.

• Name & Signature of Owner

  Sign

Quality Inspection

• Take photo evidence of finished work

  Media

• Recommendations/ Additional Comments