Archive.miamigov.com
|Project Name: |Project No.: |
|Contractor: |Change Order No.: |
| | |
| | |
|Contract Award Date: |Completion Date: |
|Revised Completion Date (prior to this change): |Extension(s) of Time Previously Approved: days |
|Revised Completion Date (including this change): | |
The Contractor and the City hereby agree to modify the Contract as follows: (Attach additional pages as necessary)
|Item No. |Description of Change |Contract |Price |Contract |Tme |
| | |Increase |Decrease |Increase |Decrease |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| |Difference (Net) | | | | |
SUMMARY OF CONTRACT AMOUNT
| Reason for Change | | |
|Regulatory Change |Original Contract Amount | |
|City Requested |Cost of Construction Changes Previously Ordered | |
|Design Error |Adjusted Contract Amount Prior to this Change Order | |
|Unforeseen/Unforeseeable |Cost of Construction Changes in this Change Order | |
| |Adjusted Contract Amount Including this Change | |
| |Percentage Increase this Change Order | % |
| |Total Percent Increase to Date | % |
|Contingency Funds Used |Contingency Contingency Balance | |
| |Extension of Time Allowed by this Change - days | |
This change order is hereby incorporated into and becomes a part of the Contract Documents.
Accepted By Contractor: ___________________________________ Date: __________________________
Accepted By CITP Director __________________________________ Date: __________________________
Distribution: Contractor A/E Finance Project File
-----------------------
Contract Change Order
City of Miami
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CITP Form CO
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