Change Order relating to a contract between a Contractor and a Principal whereby the two parties agree to a change in the original contract. This particular form includes a provision for an additional charge for the requested change.
By having a written rather than oral amendment, the parties can avoid many future problems and misunderstandings surrounding the altered provision.
This form includes special formatting features to assist you in completing the agreement.
This form can be used in the following provinces: Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Nunavut, Ontario, Prince Edward Island, Saskatchewan and Yukon.
Change Order
Contractor (Name and Address):
___________________________________________________________________________________________
Change Order No.:___________________________________________
Contract No.:_______________________________________________
Project No.:________________________________________________
Description and Location of Work:_________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
Original Amount of Contract:__________________________________
Approved C.O. Amount to Date:_______________________________
Present C.O. Amount:_______________________________________($0.00)
Revised Contract Amount:___________________________________($0.00)
Recommended: _______________________________________
Signature: ___________________________________________
Date (YYYY-MM-DD):__________________________________
2nd Signature (if applicable): ___________________________________________
Date (YYYY-MM-DD)2:_________________________________
Approved:___________________________________________
Signature: ___________________________________________
Date (YYYY-MM-DD)3:_________________________________
Contractor (Name and Address)2: _______________________________________
Change Order No.2:___________________________________________________
Contract No.2:_______________________________________________________
Project No.2:________________________________________________________
Description and Location of Work 2:_______________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
Reasons for Change:___________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
Pursuant to section 32(1) of the Financial Administration Act, funds are available.
Signature (Mandatory): ___________________________________________
Date (YYYY-MM-DD)4:___________________________________________
http://www.tpsgc-pwgsc.gc.ca/app-acq/forms/610-eng.html
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