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WORK CHANGE DIRECTIVE <br />PROJECT: DATE OF ISSUANCE: <br />OWNER: <br />(Name, Address) <br />CONTRACTOR: <br />CONTRACT FOR: <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 />OWNER'S Project No.: <br />ENGINEER: <br />ENGINEER's Project No.: <br />No. <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: <br />Time: <br />[ ] Time and Materials <br />[ ] Unit Prices <br />[ ] Cost plus fixed fee <br />Estimated increase (decrease) in Contract Price <br />$ . If the <br />change involves an increase, the estimated <br />amount is not to be exceeded without further <br />authorization. <br />Method of determining change in Contract <br />[ ] Contractor's records <br />[ ] Engineer's records <br />[ ] Other <br />Estimated increase (decrease) in Contract Time <br />days. If the change involves an <br />increase, the estimated time is not to be exceed <br />without further 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: <br />By: By: <br />Engineer <br />Date: Date: <br />APPROVED: <br />044572017 <br />00800-22 <br />Owner <br />