Construction Contract Change Order Form - Nebraska

This "Construction Contract Change Order Form" is a Nebraska-specific form released by the Nebraska Department of Administrative Services on November 11, 2011.

Download the form by clicking the link below, fill it out by hand, and mail it as per the guidelines provided by the department or the applicable legal instructions.

ADVERTISEMENT
STATE OF NEBRASKA
DEPARTMENT OF ADMINISTRATIVE SERVICES
STATE BUILDING DIVISION
Construction Contract Change Order
Project:
Change Order Number:
Date:
Project Number:
Contractor
Contract Date:
Contract For:
Description of change is as follows:
The original Contract Sum was:
$
Net change from previously authorized Change Orders:
$
The total contract sum prior to this Change Order was:
$
The Contract Sum will be (
) by this Change Order in the
$
amount of
The new Contract Sum including this Change Order is:
$
The Contract Time will be (
) by
days
Architect
Contractor
Owner
Address
Address
Address
City, State, Zip
City, State, Zip
City, State, Zip
_______________________
_____________________
___________________________
By
By
By
Date ____________________________________
Date _________________________________
Date ______________________________
W:\Everyone\CONTRACT FORMS - DAS Legal Approved\Construction Contract Change Order Form.docx
(Revised 11/11/11)
STATE OF NEBRASKA
DEPARTMENT OF ADMINISTRATIVE SERVICES
STATE BUILDING DIVISION
Construction Contract Change Order
Project:
Change Order Number:
Date:
Project Number:
Contractor
Contract Date:
Contract For:
Description of change is as follows:
The original Contract Sum was:
$
Net change from previously authorized Change Orders:
$
The total contract sum prior to this Change Order was:
$
The Contract Sum will be (
) by this Change Order in the
$
amount of
The new Contract Sum including this Change Order is:
$
The Contract Time will be (
) by
days
Architect
Contractor
Owner
Address
Address
Address
City, State, Zip
City, State, Zip
City, State, Zip
_______________________
_____________________
___________________________
By
By
By
Date ____________________________________
Date _________________________________
Date ______________________________
W:\Everyone\CONTRACT FORMS - DAS Legal Approved\Construction Contract Change Order Form.docx
(Revised 11/11/11)

Download Construction Contract Change Order Form - Nebraska

402 times
Rate
4.4(4.4 / 5) 28 votes
ADVERTISEMENT