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i <br /> WORK CHANGE DIRECTIVE <br /> No . <br /> PROJECT: DAT,ll OF ISSUANCE : <br /> OWNER: <br /> (Name, Address) <br /> CONTRACTOR: OWNER' s Project No . : <br /> ENGINEER: <br /> CONTRACT FOR: ENGINEER' s Project No . : <br /> You are directed to proceed with the following change(s) : <br /> Description: <br /> Purpose of Work Directive Change : <br /> Attachment(s) (list documents supporting change) : <br /> If a claim is made that the above change(s) have affected Contract Price or Contract Time, any claim for a <br /> Change Order based thereon will involve one of the following methods of determining the effect of the <br /> change(s) . <br /> Method of determining change in Contract Price : Method of determining change in Contract <br /> Time: <br /> [ ] Time and Materials [ ] Contractor' s records <br /> [ ] Unit Prices [ ] Engineer' s records <br /> [ ] Cost plus fixed fee [ ] Other <br /> Estimated increase (decrease) in Contract Price Estimated increase (decrease) in Contract Time <br /> $ If the days. If the change involves an <br /> ' change involves an increase, the estimated increase, the estimated time is not to be exceed <br /> amount is not to be exceeded without further without further authorization. <br /> authorization. <br /> ' Once the Work covered by the directive is completed or final cost and time determined, Contractor should <br /> submit documentation for inclusion in a change Order. <br /> THIS IS A DIRECTIVE TO PROCEED WITH A CHANGE THAT MAY AFFECT THE CONTRACT <br /> PRICE OR THE CONTRACT TIME . A CHANGE ORDER, IF ANY, SHOULD BE CONSIDERED <br /> PROMPTLY, <br /> RECOMMENDED : APPROVED : <br /> By: By: <br /> Engineer Owner <br /> Date: Date : <br /> 6706-38392\8/20/03 00800- 17 VRB <br />