Construction Contract Change Order Justification Form Page 2
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2FLORIDA BOARD OF EDUCATION, DIVISIONOF COLLEGES & UNIVERSITIES
CONSTRUCTION CONTRACT CHANGE ORDER
Change No.:
Date: _________________
Project: ____________________________________________________________________________
Project No: UCF-
A/E Job No:
Federal Project No: _______________
Architecture/Engineer (Name):_______________________
To (Contractor):___________________________________
___________________________________
Your Proposal Dated
has been accepted for making the following changes:
DESCRIPTION OF CHANGE
DECREASE
INCREASE
-0-
$
NOTICE TO PROCEED DATE: ORIGINAL CONTRACT SUM:
_________
$_______________________
Contract Time
Days
Complete*
Subtotal
$0.00
Present Contract
New (Add) (Deduct)
$0.00
This Change
Present Contract Sum
$
New Contract Time
New Contract Sum
$0.00
*SUBSTANTIAL COMPLETION DATE
This Change Order is an agreement to the Contract Agreement between the Contractor and the Owner,
and all contract provisions shall apply unless specifically exempted. The amount and time Change
designated are the maximum agreed to by both the Owner and the Contractor for this change. In
consideration of the foregoing adjustments in contract time and contract sum, the Contractor hereby
releases Owner from all Claims, demands, or causes of action arising out of the transactions, events and
occurrences giving rise to this Change Order.
This written Change Order is the entire agreement
between Owner and Contractor with respect to this Change Order. No other agreement or modifications
shall apply to this contract amendment unless expressly provided herein.
L. this Change Order
represents final action pursuant to Section 120.57, Florida Statutes (1978).
The change described in this
change order cannot proceed without this signed agreement. Proceeding without this signed agreement
represents a violation of the Construction Contract.
AGREED
__________________
________
CONTRACTOR
DATE PRESIDENT OR DESIGNEE
DATE
__________________
________
ARCHITECT/ENGINEER
DATE DIRECTOR
DATE
__________________
________
UCF PROJECT MANAGER
DATE CONSTRUCTION COORD.
DATE
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