RUS Form 238 Construction or Equipment Contract Amendment

Close

Save

Submit

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0572-0107, which expires on XXXX. The time required to complete this information collection is estimated to average 1 minute per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection information. All responses to this collection of information are voluntary. Any questions on this burden can be sent to [email protected].

U.S. Department of Agriculture Rural Utilities Service CONSTRUCTION OR EQUIPMENT CONTRACT AMENDMENT	1. Borrower Designation				2. Date
	3. Amendment No.		4. Contact No.		5. Bond Extension Attached YES NO
	6. Delivery or Completion Date
	a. Original			b. As Amended
Instructions: 1. The Architect-Engineer shall submit three (3) copies of this form to the Owner. 2. If applicable, the Owner shall submit the three (3) copies of this form to RUS for approval.
7. Reasons for, and Details and Description of the Amendment (If additional space is needed, use reverse or separate sheet)		8. A Summary Of the Original Contract Price and Amendments thereto, Including this Amendment, follows: (Amendments which decreased the price are preceded by a (-) minus sign.)
		Original Contract Price			$
		Amendment Number 1			$
		Amendment Number 2			$
		Amendment Number 3			$
		Amendment Number 4			$
		Amendment Number 5			$
		Amendment Number 6			$
		Amendment Number 7			$
		Amendment Number 8			$
		Amended Contract Price			$

This amendment, providing for an increase of $ / decrease of $

in the contract price is submitted pursuant to the provisions of said contract. This Amendment does , does not ,

require approval of the Administrator of RUS. To the extent the items hereof are approved, the contract shall be amended.

RECOMMENDED

^{Architect-Engineer} Date

ACCEPTED

Contractor ^Owner

^By By

President ^President

Date ^Date

This Amendment must be signed with the full name of the Contractor. If the Contractor is a partnership, this Amendment must be signed in the partnership name by a partner. If the Contractor is a corporation, this Amendment must be signed in the corporate name by a duly authorized officer.

Expires: XX/XX/20XX

RUS Form 238 (Rev. 2-04)

Close

Save

Submit

Close

Save

Submit

CONSTRUCTION OR EQUIPMENT CONTRACT AMENDMENT (continued)			1. Borrower Designation		2. Contract No.
Item No.	Reason for and Description of Contract Amendment No.	Changes in Cost (decrease preceded by (-) minus sign.)
		Labor or Installation	Material or Equipment*	Total
				$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

* To be completed when applicable.

RUS Form 238 (Rev. 2-04)

Close

Save

Submit