Construction & contracting
Variation order template (US)
A general template under US law. Laws differ from state to state, so check it against your state's law or with a lawyer licensed there. We are not a law firm and do not give legal advice.
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Preview — US standard
Change Order
| Item | Details |
| --- | --- |
| Change order no. | Change Order Number |
| Date | Change Order Date |
| Project | Project Name and Address |
| Contract | Contract Name dated Contract Date |
| Owner | Owner Name |
| Contractor | Contractor Name, license no. Contractor License Number |
| Architect or engineer | Architect or Engineer Name or None |
Description of Change
Description of the Change to the Work, with Drawing or Specification References
Reason
Reason, such as owner request, unforeseen site condition or code requirement
Effect on Price
| Item | Amount |
| --- | --- |
| Original contract sum | $Original Contract Sum |
| Net change by earlier change orders | $Earlier Changes Total |
| Contract sum before this change order | $Contract Sum Before |
| This change order (add or deduct) | $This Change Amount |
| New contract sum | $New Contract Sum |
Pricing basis: Lump Sum, Unit Prices, or Time and Materials with Rates
Effect on Time
Contract time will increase / decrease / stay the same by Number of Days days. New substantial completion date: New Completion Date.
Agreement
This change order is a full and final adjustment of price and time for the change described, unless stated here: Reserved Items or None. All other contract terms stay in effect. Work on the change will not start until this change order is signed, except in an emergency.
| Owner | Contractor | Architect or Engineer |
| --- | --- | --- |
| Owner Signature | Contractor Signature | Architect Signature |
| Date: Owner Signing Date | Date: Contractor Signing Date | Date: Architect Signing Date |