"Construction Contract Change Order Form" - Nebraska

Construction Contract Change Order Form is a legal document that was released by the Nebraska Department of Administrative Services - a government authority operating within Nebraska.

Form Details:

  • Released on November 11, 2011;
  • The latest edition currently provided by the Nebraska Department of Administrative Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Nebraska Department of Administrative Services.

ADVERTISEMENT
ADVERTISEMENT

Download "Construction Contract Change Order Form" - Nebraska

402 times
Rate
(4.4 / 5) 28 votes
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)