Contract Change Order

Instructions for RD1924-0007

CONTRACT CHANGE ORDER

Contractors, applicant/borrowers, or architect/engineers may complete this form. Rural Development (RD) provides this form to make changes to a construction contract. All parties must sign the form including RD�s local official approving the change order.

Features for transmitting the form electronically are available to those customers with access credentials only.  If you would like to establish online access credentials with USDA, follow the instructions provided at the USDA eForms web site.

Contractors, applicant/borrowers or architect/engineers must complete all of the items specified in the following table.

Fld Name / Item No.	Instruction
1 Order No	Enter the contract change order number (e.g.; 1,2,3, etc.).
2 Date	Enter the date this form is completed.
3 State	Enter the State in which the contract exists.
4 Contract for	Enter general description of work to be performed.
5 County	Enter the County in which the contract exists.
6 Owner	Enter the name(s) of the applicant(s)/borrower(s) who is the property owner.
7 To	Enter the contractor�s name or company name.
8 Description of Changes	Enter description of changes to the contract.
9 Decrease in Contract Price	Enter decrease in dollar amount if contract price is going down.
10 Increase in Contract Price	Enter increase in dollar amount if contract price is going up.
11 Decrease Totals	Enter total of decrease dollars.
12 Increase Totals	Enter total of increase dollars.
13 Net Change Decrease	Enter the dollar amount of the net change in contract price if the net change is a decrease.
14 Net Change Increase	Enter the dollar amount of the net change in contract price if the net change is an increase.
15 Justification	Enter the reason(s) for changes in contract.
16 Sum of	Enter the dollar amount in written and number format the contract will be increased or decreased by.
17 Contract Total	Enter the total dollar amount in written and number format the contract will be with the changes in place.
18 Contract Period	Enter the number of days that the contract time period will increase or decrease by or if it will stay the same.
19 Requested	Enter signature of the applicant(s)/borrower(s).
20 Date	Enter the date this form is signed by applicant(s)/borrower(s).
21 Recommend	Enter signature of the Architect/Engineer if applicable.
22 Date	Enter the date this form is signed by the Architect/Engineer if applicable.
23 Accepted	Enter signature of the Contractor/Builder.
24 Date	Enter the date this form is signed by the Contractor/Builder.
25 Approved by Agency	Enter signature and title of the RD Approval Official.
26 Date	Enter the date this form is signed by the RD Approval Official.