Laserfiche WebLink
i <br />40 <br />WORK DIRECTIVE CHANGE <br />No. <br />(Instructions on reverse side) f <br />PROJECT: DATE OF ISSUANCE: <br />OWNER: <br />(Name, <br />Address) <br />CONTRACTOR: OWNER's Project No. <br />ENGINEER: <br />f . CONTRACT FOR: ENGINEER's Project No. . <br />you are directed to proceed promptlY with the following change(s): <br />Description: - <br />Purpose of Work Directive Change: <br />Attachments: (list documents supporting change) <br />If a claim is made that the above changes) have affected Contract Price or Contract Tirne, <br />any claim for a Change Order based thereon will involve one of the fallowing methods of <br />determining the effect of the change(s). <br />lvtethad of deterntining change in Method of determining change in <br />Contract Price: • Contract Time:- <br />pTime and materials 0 Contractor's records <br />� Engineer"s records <br />C] Unit prices <br />Cost plus fixed fee ❑Other <br />f © Other <br />l Estimated increase (decrease) in Contras[ Estimated increase (decrease) i C the hangs <br />Price:5 . r Time: -- Y <br />If tltc change involves an increase, the esti- involves an increase, the estimated time is <br />mated amount is not io be exceeded with- not to be exceeded without further autho- <br />out further authorization. rization. <br />RECOMMENDED: <br />by e. <br />AUTHORIZED: <br />by —. <br />EjCDC too. 1916.9-F (1991 Edidon) <br />hcpgoed by the Ln{ine,n" Wni Commel Do"mcrd&C m+datse Rn4 e,dorud 6y IM A,tosiLtL Censnl CvMruts,n ar Awtttic*' <br />•t naaaa-�� <br />