Work Change Directive (Form C-00 63 49)
No.
Date of Issuance: Effective Date:
Project: Owner: Owner's Contract No.:
Contract: Date of Contract:
Contractor: Engineer's Project No.:
Contractor is directed to proceed promptly with the following change(s):
Item No. Description
Attachments (list documents supporting change):
Purpose for Work Change Directive:
Authorization for Work described herein to proceed on the basis of Cost of the Work due to:
L] Nonagreement on pricing of proposed change.
[_] Necessity to expedite Work described herein prior to agreeing to changes on Contract
Price and Contract Time.
Estimated change in Contract Price and Contract Times:
Contract Price $ (increase/decrease) Contract Time (increase/decrease)
days
Recommended for Approval by Engineer: Date
Authorized for Owner by: Date
Received for Contractor by: Date
Received by Funding Agency (if applicable): Date:
Based on EJCDC C-940 Work Change Directive
Prepared by the Engineers Joint Contract Documents Committee and endorsed by the Construction Specifications Institute.
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