7-G. Master Change Order Form.pdf

PDF 23 KB Posted

Attached to
Randall County Siren Project State and local contract opportunity
Solicitation number
BVB 407-25 YM
Issued by
Palo Pinto County, Amarillo City, Amarillo City, Texas

About this file

This document is a blank Change Order form from the City of Amarillo's Office of Emergency Management. The form is designed to document modifications to an existing contract, with spaces to record changes in quantities, unit prices, and contract totals. While the form is currently unpopulated, it provides a structured template for tracking contract adjustments, including sections for original and revised estimates, net changes in quantities and dollars, and approvals from the Contractor, Engineer, Emergency Management Coordinator, and City Manager. The form includes distribution instructions to copy relevant parties such as Departmental Accounting, the Contractor, Project Representative, and Emergency Management Coordinator.

The change order form includes financial tracking sections to calculate the net impact of contract modifications, with line items for the current change order, previous change orders, total change orders, original contract total, and revised contract total. All monetary fields are currently blank, indicating this is a standard template ready to be filled out when actual contract changes occur. The form also provides space to note any changes to the contract time in working days, though in this instance it shows zero change. The document serves as an administrative tool for formally documenting and approving contract amendments within the City of Amarillo's procurement and project management processes.

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Text version

DATE:

CHANGE ORDER NO.

ORIGINAL REVISED NET NET

ITEM ESTIMATE ESTIMATE CHANGE UNIT UNIT CHANGE

NO. DESCRIPTION QUAN. QUAN. IN QUAN. MEASURE PRICE IN DOLLARS

NET THIS CHANGE ORDER $ 0.00

PREVIOUS CHANGE ORDERS $ 0

TOTAL OF CHANGE ORDERS $ 0.00

ORIGINAL CONTRACT TOTAL $

REVISED CONTRACT TOTAL $ 0.00

APPROVED: RECOMMENDED:

Contractor Engineer

By Emergency Management Coordinator

City Manager cc: Departmental

Accounting

Contractor

Project Representative

Emergency Management Coordinator

REVISED CONTRACT TIME IN WORKING DAYS- 0

DESCRIPTION OF CHANGE

CHANGE ORDER

CITY OF AMARILLO

OFFICE OF EMERGENCY MANAGEMENT

CONTRACTOR:

JOB NO.

File details come from the government source that posted it. Updated .