Fill and Sign the Contracting for Success California Contractors State Form

Construction Contract Change Order No.: __________________________ (change order number)Dated: ____________________ (date of change order)Owner's Project No.: ______________ (Number)Engineer's project No.: ______________ (Number) Project: _____________________________________ (Name of Project)Owner: _____________________ (Name of Owner)Contractor: _______________________________ (Name of Contractor)Contract date: _______________________ (date of contract) Contract for construction of (Give a Brief Description of Building to be built) __________ _________________________________________________________________________ _________________________________________________________________________.To: ________________________________ (Name of Contractor) You are hereby directed to make the changes noted below in the subject contract. Witness my signature this ____________________ (date). _________________________________________Name and Signature of Owner  Nature of change: (Give a description of change) ____________________ ___________________________________________________________________ ___________________________________________________________________. Enclosures: (Describe amended plans, drawings, and specifications accompanying the Change Order) _____________________________________ ___________________________________________________________________ ___________________________________________________________________. Changes resulting in the following adjustment of contract price and contract time: (Describe) __________________________________________________________ ___________________________________________________________________ ___________________________________________________________________.Contract price prior to this change order: $________________. Net __________________ (increase or decrease) resulting from this change order: $_________________Current contract price including this change order: $_________________Contract time prior to this change order: (number) calendar days. Net _________________ (increase or decrease) resulting from this change order: ______ (number) calendar days. Current contract time including this change order: ______ (number) calendar days. The above changes are approved this __________________________ (date)._______________________________________ Name and Signature of Architect or Engineer The above changes are accepted this _________________________ (date). _________________________________________ Name and Signature of Contractor