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Contractor (Name and Address):
Contemplated Change No.:
Contract No.:
Project No.:
Description and Location of Project:
It is proposed to make the following change in the work. You are requested to quote a firm price for any revision to the contract amount arising from this change. No work should be undertaken on this change until a change order/written authorization has been signed and issued.
Quotation to be submitted within days of the date of this notice.
Description of Change:
The work shall conform to the contract documents where applicable unless otherwise stated.
Departmental Representative: _________________________________
Date (YYYY-MM-DD):
Contractor (Name and Address) 2:
Contemplated Change No. 2:
Contract No. 2:
Project No. 2:
Estimate:
Description and Location of Project 2:
Reasons for Change:
THIS PAGE IS NOT TO BE DISTRIBUTED TO THE CONTRACTOR
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