Change Order No.: [Unique Number]

Date: [Date]


Project Name: [Project Name]

Client Name: [Client Name]

Contractor: [Your Business Name]

1. Description of Change:

  • Briefly describe the requested change to the original scope of work.
  • Include details like additional rooms, paint colors, materials, or finishes.

2. Impact on Price:

  • Indicate if the change order will affect the original project price.
  • If there's an increase, specify the additional cost associated with the change.
  • If there's a decrease (less likely), mention the revised price reduction.

3. Impact on Schedule:

  • Indicate if the change order will affect the original project timeline.
  • If there's a delay, specify the estimated number of additional days needed.

4. Client Approval:

By signing below, the Client acknowledges and agrees to the following:

  • The description of the change order as outlined above.
  • The impact on the project price, including any additional costs or reductions.
  • The impact on the project schedule, including any potential delays.

Client Signature:

Print Name:


5. Contractor Approval:

By signing below, the Contractor acknowledges and agrees to:

  • Perform the change order according to the agreed-upon description.
  • Complete the change order within the revised timeline (if applicable).

Contractor Signature:

Print Name:


6. Liability Waiver:

This Change Order does not modify the original Agreement's liability provisions. The original liability waiver regarding damages and injuries remains in effect.

7. Payment:

  • If the change order results in an additional cost, the Client agrees to pay the additional amount before the change order work commences.
  • Payment terms for the additional cost will be the same as the original contract (e.g., percentage upon approval, percentage upon completion of specific milestones).

8. Entire Agreement:

This Change Order, together with the original Agreement, constitutes the entire agreement between the parties regarding the changes outlined above and supersedes any prior or contemporaneous communications, representations, or agreements, whether oral or written.

9. Governing Law:

This Change Order shall be governed by and construed in accordance with the laws of the State of [YOUR STATE].

10. Binding Effect:

This Change Order shall be binding upon and inure to the benefit of the parties hereto and their respective heirs, successors, and permitted assigns.