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WORK CHANGE DIRECTIVE <br /> No . <br /> PROJECT : DATE 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 detennining 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 /> 00800 -23 <br />