11-09. Master Change Order Form.pdf

This is a Master Change Order Form for the City of Amarillo Department of Public Works related to the FIDS Airport project, which involves replacing the existing multi-user flight information display system at Rick Husband Amarillo International Airport's commercial passenger terminal building in Texas.

The form serves as a template for documenting modifications to the original contract. It provides fields for recording the original and revised estimates, changes in quantities, unit measures, and unit prices for line items. The document tracks the net change in dollars for each modification, cumulative previous change orders, and calculates the revised contract total against the original contract amount. The form requires approval signatures from the contractor, engineer, director of public works, and city manager, with distribution to departmental accounting, the contractor's project representative, and the public works project coordinator. Additionally, the form includes space to document any changes to the revised contract time measured in working days. No specific pricing, quantities, or dates are populated on this template document.