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Chapter 19

Form 19-13

Exhibit N
Change Order

Basic Information

Date:

Change Order Number:

Owner:

Owner’s Mailing Address:

Contractor:

Contractor’s Mailing Address:

Property and Improvements: The Improvements described in the Residential Construction Contract (“Contract”) (incorporated by reference) between Owner and Contractor for [specify].

Changes to Contract:

1.Change to Plans and Specifications

In accordance with the Contract terms, the following changes (“Changed Work”) are approved: [specify].

2.Contract Sum Adjustment

Original contract sum: [specify]

[Include if applicable: Prior change orders number 1 through number [number]:
[specify]]

This change order: [specify]

Revised contract sum: [specify]

3.Completion Date Adjustment

Original completion date: [date]

[Include if applicable: Previous time changes number 1 through number [number]: [days]]

This time change: [days]

Revised completion date: [date]

4.Contract Amendment.      For the same consideration that supports the Contract, Owner and Contractor agree to amend the Contract as described in the Changes to Contract. The Contract as amended remains in full force and effect.

5.When the context requires, singular nouns and pronouns include the plural.

   
[Name of owner]

   
[Name of contractor]

If the owner is married, both spouses must sign any written agreement regarding estimates for changed work.