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|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

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Contract Change Order

City of Miami

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CITP Form CO

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