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CHANGE ORDER <br />No. <br />PROJECT <br />DATE OF ISSUANCE EFFECTIVE DATE <br />OWNER <br />OWNER's Contract No. Project No. <br />CONTRACTOR ENGINEER PBS&J, Inc. <br />You are directed to make the following changes in the Contract Documents: <br />Description: <br />Reason for change order: <br />Attachments: (List doenmenta .crnnnnrtinv Anna,-) <br />CHANGE IN CONTRACT PRICE <br />CHANGE IN CONTRACT TIME <br />Original Contract Price <br />Original Contract Times <br />$ <br />Substantial Completion: <br />Ready for final payment: <br />Days or dates <br />Net changes from previous Change Orders <br />Net change from previous Change Orders <br />No. to No. <br />No. to No. <br />$ <br />days <br />Contract Price prior to this Change Order <br />Contract Time prior to this Change Order <br />$ <br />Substantial Completion: <br />Ready for final payment: <br />Days or dates <br />Net Increase (decrease) in this Change Order <br />Net Increase in this Change Order <br />days <br />Contract Price with all approved Change Orders <br />Contract Time with all approved Change Orders <br />$ <br />Substantial Completion: <br />Ready for final payment: <br />Days or dates <br />RECOMMENDED: APPROVED: ACCEPTED: <br />By: <br />Engineer (Authorized Signature) <br />Date: <br />By: <br />Owner (Authorized Signature) <br />Date: <br />By: <br />Contractor (Authorized Signature) <br />Date: <br />EJCDC No. C-700 (2002 Edition) <br />Prepared by the Engineers Joint Contract Documents Committee and endorsed by The Associated <br />General Contractors of America. <br />00800-25 <br />