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PCO Template

A potential change order was submitted for review regarding additional work on the project. The change order did not list any additional costs or impact to the project schedule. The contractor submitted the change order scope to the owner for approval to authorize the work and adjust the contract amount and schedule if needed by signing the form.

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Stefan
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538 views1 page

PCO Template

A potential change order was submitted for review regarding additional work on the project. The change order did not list any additional costs or impact to the project schedule. The contractor submitted the change order scope to the owner for approval to authorize the work and adjust the contract amount and schedule if needed by signing the form.

Uploaded by

Stefan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

POTENTIAL CHANGE ORDER

Date:
Budget Status: Awarded
Project: PCO #:

PCO Title:

From: To:

Contractor Change Order Scope Value

Subcontractor
Name

Subtotal $ -
Overhead / Fee $ -
Total $ -

Schedule will be increased by: 0 Days


Agreement:
I / we hereby agree to the modifications of the contract as described above and agree to the furnishing of all materials and labor and the performing of all work in
connection therewith for the following considerations:
( increase ) the contract amount by the sum of: $0

Please sign and return this sheet as authorization to proceed with the aforementioned work. Signing this sheet properly authorizes a change in contract value and
schedule duration (if required.) A formal Owner Contract Change Order will be forwarded for proper contract revisions.

Owner:

Date:
Date

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