34-Doc 00 63 63 - Change Order.pdf
PDF 92 KB Posted
- Attached to
- 124 Easton Road Demolition 25-01189. 01
- Solicitation number
- Not on record
- Issued by
- Pennsylvania
About this file
This is a Change Order document (EJCDC Form C-941) for the 124 Easton Road Demolition project (Contract No. 25-01189.01) in Pennsylvania, involving the Owner, Contractor Gilmore & Associates, Inc., and Engineer. The change order authorizes modifications to the original contract documents for the demolition of the existing Shelby Apartments building at 111-124 Easton Road, which includes removal of associated concrete patios and asphalt parking lot, environmental remediation within the building, and site restoration to match existing grading with stabilization. The document provides a structured format for documenting the description of changes, reason for change order, and any supporting attachments related to the project modifications.
The change order template captures the financial and scheduling impact of the requested modifications, including the original contract price and times, net changes from any previous change orders, and the cumulative contract price and times with all approved change orders. It requires authorized signatures from the Engineer, Owner, and Contractor to document approval and acceptance of the changes, with designated fields for recording the effective date and date of issuance. The document does not specify particular dollar amounts, time extensions in days, or other numerical values, as it represents a blank form template awaiting completion with specific change order details.
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Text version
DOCUMENT 00 63 63
No.
PROJECT:
DATE OF ISSUANCE EFFECTIVE DATE
OWNER:
OWNER'S Contract No.
CONTRACTOR: ENGINEER:
You are directed to make the following changes in the Contract Documents.
Description:
Reason for Change Order:
Attachments:
Original Contract Price Original Contract Times
Substantial Completion:
$ Ready for final payment:
Net changes from previous Change Orders No. to No. Net changes from previous Change Orders No. to No.
$ days
Contract Price prior to this Change Order Contract Times prior to this Change Order
Substantial Completion:
$ Ready for final payment:
Net increase (decrease) of this Change Order Net increase (decrease) of this Change Order
$ days
Contract Price with all approved Change Orders Contract Times with all approved Change Orders
Substantial Completion:
$ Ready for final payment:
RECOMMENDED: APPROVED: ACCEPTED:
By: By: By:
Date: Date: Date:
Engineer (authorized signature)
CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIMES:
Owner (authorized signature) Contractor (authorized signature)
CHANGE ORDER
MIRIA
2025-01189.01
Gilmore & Associates, Inc.
EJCDC Form C-941
CHANGE ORDER
00 63 63-1
File details come from the government source that posted it. Updated .