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WORK DIRECTIVE CHANGE <br />No. (Instructions on reverse side) <br />PROJECT: <br />• DATE OF ISSUANCE: <br />OWNER: <br />(Name, <br />Address) <br />CONTRACTOR: <br />CONTRACT FOR: <br />OWNER's Project No. ______ _ <br />ENGINEElt: <br />ENGINEER's Project No. <br />You arc directed to proceed promptly with the following changc(s): <br />Description: <br />' <br />Purpose of Work Directive Change: <br />Attachments: (list documents supporting change) <br />If a claim is made that the above change(s) have affected Contract Price or Contract Time, <br />any claim for a Change Order based thereon will involve one of the following methods of <br />detennining the effect of the changc(s). <br />Method of determining change in <br />Contract Price: <br />D Time and materials <br />D Unit prices <br />D Cost plus fixed fee <br />0 Other ----""-------- <br />Estimated increase (decrease) in Contract' Price: $ ____________ . :. <br />If the chang,: involves an increase, the esti• · <br />mated amount is not io be e:tcecded with- <br />out further authorization. <br />RECOMMENDED: <br />bY -----~--------t:flo"" <br />EJCDC No. l910·1·F (191) Ediuonl <br />Method of determining change in <br />· Contract Time:- <br />□ Contractor's records <br />D Engineer's records <br />0 Other----------- <br />Estimated increase (decrease) in Contract <br />Time: ____ days. lf the change <br />involves an increase, the estimated time is <br />not to be exceeded without further autho- <br />-. rization . <br />AUTHORIZED: <br />bY ------0---,-------