Use this form to authorize the contractor to proceed with work without waiting for formal approvals to be completed when the normal paperwork would unnecessarily delay the work, or when there is a life/safety issue. Note that this form replaces both the Field Order and Emergency Work Order. Delete this instruction before printing the form. (Right click, Delete Cells, Delete entire row, OK.) Also delete any editing notes (select note, press Delete key.) Project ID: Date: Contract ID: CD #: Contractor: LOA #: CCN #: Project Title: TITLE: The following is a description of the change: Editing note: In your description of work include the scope,and include the type of pricing that is required: Time &Material, Stipulated Sum estimate, unit pricing. Editing note: If you are unsure which reason code to select, please read the . This work was not included in the tender documents because: 1. Cash Allowance 5. Cost Saving 8. Furniture/Equipment Change 2. Design Discrepancy 6. Design Improvement 9. CM Error 3. Regulatory Change 7. User Change 10. Contract Reconciliation 4. Site Condition Drawings/Sketches attached: The Contractor shall proceed with the change in the work, to a maximum amount of $. The Contractor shall maintain daily time and material records, which shall be signed by an authorized representative of the Owner. Upon completion of the work authorized above, the cost of the work will be reviewed in accordance with the contract documents and following agreement by the Owner and Construction Manager on the adjustment in the contract price and contract time, a Change Authorization will be issued. Recommended by , Prime Consultant Date (mm-dd-yyyy) For approvals, refer to the . Approvals
Use this form to authorize the contractor to proceed with work without waiting for formal approvals to be completed when the normal paperwork would unnecessarily delay the work, or when there is a life/safety issue. Note that this form replaces both the Field Order and Emergency Work Order. Delete this instruction before printing the form. (Right click, Delete Cells, Delete entire row, OK.) Also delete any editing notes (select note, press Delete key.) Project ID: Date: Contract ID: CD #: Contractor: LOA #: CCN #: Project Title: TITLE: The following is a description of the change: Editing note: In your description of work include the scope,and include the type of pricing that is required: Time &Material, Stipulated Sum estimate, unit pricing. Editing note: If you are unsure which reason code to select, please read the . This work was not included in the tender documents because: 1. Cash Allowance 2. Design Discrepancy 3. Regulatory Change 4. Site Condition 5. Cost Saving 6. Design Improvement 7. User Change 8. Furniture/Equipment Change 9. CM Error 10. Contract Reconciliation Drawings/Sketches attached: The Contractor shall proceed with the change in the work, to a maximum amount of $. The Contractor shall maintain daily time and material records, which shall be signed by an authorized representative of the Owner. Upon completion of the work authorized above, the cost of the work will be reviewed in accordance with the contract documents and following agreement by the Owner and Construction Manager on the adjustment in the contract price and contract time, a Change Authorization will be issued. Recommended by , Prime Consultant Date (mm-dd-yyyy) For approvals, refer to the . Approvals
01_26_63.04_Change_Directive.docx