Fillable Form Rd 1924-7 - Contract Change Order printable pdf download

Form Rd 1924-7 - Contract Change Order

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FORM APPROVED

OMB NO. 0575-0042

Form RD 1924-7

ORDER NO.

(Rev. 2-97)

UNITED STATES DEPARTMENT OF AGRICULTURE

RURAL DEVELOPMENT AND

DATE

FARM SERVICE AGENCY

CONTRACT CHANGE ORDER

STATE

CONTRACT FOR

COUNTY

OWNER

(Contractor)

You are hereby requested to comply with the following changes from the contract plans and specifications:

Description of Changes

DECREASE

INCREASE

(Supplemental Plans and Specifications Attached)

in Contract Price

TOTALS

NET CHANGE IN CONTRACT PRICE

JUSTIFICATION:

The amount of the Contract will be (Decreased) (Increased) By The Sum Of:

Dollars ($

The Contract Total Including this and previous Change Orders Will Be:

Dollars ($

The Contract Period Provided for Completion Will Be (Increased) (Decreased) (Unchanged):

Days.

This document will become a supplement to the contract and all provisions will apply hereto.

Requested

(Owner)

(Date)

Recommended

(Owner’s Architect/Engineer)

(Date)

Accepted

(Contractor)

(Date)

Approved by Agency

(Name and Title)

(Date)

Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources,

gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this

collection of information, including suggestions for reducing this burden, to U.S. Department of Agriculture, Clearance Officer, STOP 7602, 1400 Independence Avenue, S.W.,

Washington, D.C. 20250-7602. Please DO NOT RETURN this form to this address. Forward to the local USDA office only. You are not required to respond to this collection of

information unless it displays a currently valid OMB control number.

POSITION 6

Form RD 1924-7 (Rev. 2-97)

ORIGINAL-BORROWER’S CASE FOLDER