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Page 1 of 3Division of Municipal Infrastructure
Form 5A PCA Amendment Change Order Notice
September 2023OWNER:DATE:PROJECT NAME:
PROJECT #:CONSULTANT:CHANGE ORDER NUMBER:
.1 NOTICE
A change to the
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How to fill out contract change order notice

How to fill out contract change order notice
01
Begin by clearly identifying the project and contract information at the top of the contract change order notice.
02
Specify the reason for the change order, including any necessary background information.
03
Clearly state the desired changes that need to be made to the original contract.
04
Provide a detailed description of the added work or services required and any corresponding costs or schedule adjustments.
05
Include any required supporting documentation, such as revised drawings or specifications.
06
Include the signatures of all relevant parties, including the client and contractor, to indicate agreement and acceptance of the change order.
07
Make copies of the completed contract change order notice for all involved parties for record-keeping purposes.
Who needs contract change order notice?
01
Contractors who need to make modifications or additions to an existing contract.
02
Clients or project owners who require changes to be made to the original contract terms.
03
Construction and engineering firms involved in large-scale projects where adjustments are often required.
04
Any party involved in a contract who wants to ensure that changes are properly documented and agreed upon.
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What is contract change order notice?
A contract change order notice is a formal document that notifies parties involved in a contract about changes being made to the original terms, scope, or specifications of the contract.
Who is required to file contract change order notice?
Typically, the contractor or the party making changes to the contract is required to file the contract change order notice, but it may also involve the project owner depending on the contract terms.
How to fill out contract change order notice?
To fill out a contract change order notice, provide details including the contract number, description of the change, reasons for the change, any adjustments to cost and timeline, and signatures from authorized parties.
What is the purpose of contract change order notice?
The purpose of a contract change order notice is to document and formally communicate changes to the original contract, ensuring all parties are aware and in agreement with the modifications.
What information must be reported on contract change order notice?
Information that must be reported includes the contract title and number, details of the change, reasons for the change, cost implications, new completion dates, and authorized signatures.
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