25-Doc 00 63 63 ChangeOrder.pdf

This is a blank Change Order form (EJCDC Form C-941) applicable to the Borough of Doylestown's Contract 2400754 for Fanny Chapman Memorial Pool Main Pool Repairs. The form serves as the template for documenting modifications to the original contract agreement, including changes to scope of work, contract price, and contract timeline. The change order process requires documentation of the original contract price and times, net changes from previous change orders, the cumulative contract price and times with all approved change orders, and signatures from the engineer, owner, and contractor. The form accommodates entries for the project name, contract number, issuance date, effective date, and reason for the change order, with designated fields for tracking substantial completion dates and final payment readiness status.

The blank form does not contain specific pricing information, change amounts, or time adjustments as it has not yet been completed for an actual contract modification. Upon execution, change orders would be used throughout the Fanny Chapman Memorial Pool project—a concrete pool restoration project scheduled for completion by April 1, 2026—to formally authorize any deviations from the original contract terms. The standardized EJCDC form ensures consistency in change order documentation and requires authorization from all three parties (engineer, owner, and contractor) to validate any modifications to the contract agreement, with space provided for supporting attachments and detailed descriptions of requested changes.