Contract Change Order

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FORM APPROVED
OMB NO. 0575-0042
Exp. Date: MM/DD/YY

Form RD 1924-7
(Rev. 2-97)

UNITED STATES DEPARTMENT OF AGRICULTURE
RURAL DEVELOPMENT AND
FARM SERVICE AGENCY
CONTRACT CHANGE ORDER

ORDER NO.
DATE
STATE
COUNTY

CONTRACT FOR
OWNER

To

(Contractor)

You are hereby requested to comply with the following changes from the contract plans and specifications:
Description of Changes
(Supplemental Plans and Specifications Attached)

$

$

JUSTIFICATION:

INCREASE
in Contract Price

DECREASE
in Contract Price

TOTALS

$

0.00

0.00

NET CHANGE IN CONTRACT PRICE

$

0.00

0.00

The amount of the Contract will be (Decreased) (Increased) By The Sum Of:
Dollars ($

).

Dollars ($

).

The Contract Total Including this and previous Change Orders Will Be:

The Contract Period Provided for Completion Will Be (Increased) (Decreased) (Unchanged) :

Days.

This document will become a supplement to the contract and all provisions will apply hereto.
Requested
Recommended
Accepted

(Owner)

(Date)

(Owner's Architect/Engineer)

(Date)

(Contractor)

(Date)

(Name and Title)

(Date)

Approved by Agency
ORIGINAL-BORROWER'S CASE FOLDER
COPY-CONTRACTOR
COPY-BORROWER

Form RD 1924-7 (Rev. 2-97)
POSITION 6

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