DCM Form 9-J "Contract Change Order" - Alabama

What Is DCM Form 9-J?

This is a legal form that was released by the Alabama Department of Finance, Real Property Management - Division of Construction Management - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2021;
  • The latest edition provided by the Alabama Department of Finance, Real Property Management - Division of Construction Management;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DCM Form 9-J by clicking the link below or browse more documents and templates provided by the Alabama Department of Finance, Real Property Management - Division of Construction Management.

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Download DCM Form 9-J "Contract Change Order" - Alabama

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DCM Form 9-J, August 2021;
Do not staple this form and/or attachments; use clips. Print
PSCA version of DCM Form C-12;
single-sided; do not submit double-side printed documents.
A Change Order is not valid without an accompanying
completed Change Order Justification (DCM Form B-11).
CONTRACT CHANGE ORDER
DCM (BC) # __________________
(required)
Change Order No. __________
Date _________________
PSCA # ______________________
(required)
TO: Contractor Company Name & Address:
PROJECT:
TERMS: You are hereby authorized, subject to the provisions of your Contract for this project, to make the
following changes thereto in accordance with your proposal(s) dated _________________________________________
________________________________________________________________________________________________.
FURNISH the necessary labor, materials, and equipment to (Description of work to be done or changes to be made. If
the description is continued in an attachment, identify the attachment below.):
Page 1 of 2
DCM Form 9-J, August 2021;
Do not staple this form and/or attachments; use clips. Print
PSCA version of DCM Form C-12;
single-sided; do not submit double-side printed documents.
A Change Order is not valid without an accompanying
completed Change Order Justification (DCM Form B-11).
CONTRACT CHANGE ORDER
DCM (BC) # __________________
(required)
Change Order No. __________
Date _________________
PSCA # ______________________
(required)
TO: Contractor Company Name & Address:
PROJECT:
TERMS: You are hereby authorized, subject to the provisions of your Contract for this project, to make the
following changes thereto in accordance with your proposal(s) dated _________________________________________
________________________________________________________________________________________________.
FURNISH the necessary labor, materials, and equipment to (Description of work to be done or changes to be made. If
the description is continued in an attachment, identify the attachment below.):
Page 1 of 2
DCM Form 9-J, August 2021;
PSCA version of DCM Form C-12;
Description continued from Page 1:
_________________________________________________________________________________
ORIGINAL CONTRACT SUM
$ _______________________
NET TOTAL OF PREVIOUS CHANGE ORDERS
$ _______________________
PREVIOUS REVISED CONTRACT SUM
$ _______________________
THIS CHANGE ORDER WILL
INCREASE
DECREASE
THE CONTRACT SUM BY
$ _______________________
REVISED CONTRACT SUM, INCLUDING THIS CHANGE ORDER
$ _______________________
None
or
______ Calendar days
EXTENSION OF TIME resulting from this Change Order:
The amount of this Change Order will be the responsibility of ______________________________________________
(Owner and/or PSCA)
The Owner does hereby certify that this Change Order was executed per the provisions of Title 39, Code of Alabama, 1975, as amended.
CONTRACTING PARTIES
_______________________________________________
_______________________________________________
Architectural/Engineering Firm
Contractor Company
By _____________________________________________
Recommended By _______________________________
______________________________________
Name & Title
Name & Title ______________________________________________
_______________________________________________
APPROVALS
Local Owner Entity
ALABAMA DEPARTMENT OF FINANACE,
By _____________________________________________
REAL PROPERTY MANAGEMENT
DIVISION OF CONSTRUCTION MANAGEMENT (DCM)
______________________________________
Name & Title
ALABAMA PUBLIC SCHOOL & COLLEGE AUTHORITY
By ___________________________________________
Director
Date:
By ___________________________
_______________
Governor and President of Authority
CONSENT OF SURETY
Reviewed By ___________________________________
Contract Administrator
_______________________________________________
Surety Company
For DCM office use only:
By ____________________________________________
_____ PSCA funds are available to fund this change order.
(Attach current Power of Attorney)
_____ PSCA funds will not be used to fund this change order.
Name & Title _______________________________________________
Review/Signature flow: Architect/Engineer (prepare documents) > Contractor (review and sign) (> Surety for additive $ change orders
only [sign]) > Architect/Engineer (review and sign) > Local Owner (review and sign) > DCM (review and sign) > Finance-Legal >
Governor (review and sign) > DCM (distribute fully executed Change Order to all parties).
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