SUBCONTRACTOR CHANGE ORDER

PROJECT NAME
LOCATION OF WORK
CONTRACT NO.	CHANGE ORDER NO.
REQUESTING PARTY	DATE OF REQUEST
PROJECT MANAGER	CONTRACTOR
OWNER	ENGINEER

SUBCONTRACTOR ITEMIZED BREAKDOWN OF WORK
MATERIAL NAME	DESCRIPTION	QUANTITY	UNIT PRICE	AMOUNT
TOTAL
LABOR	NO. OF HRS	RATE	AMOUNT
REGULAR PAY
OVERTIME PAY
TOTAL
EQUIPMENT	NO. OF HRS	RATE	AMOUNT
RENTED
OWNED
TRUCKING
TOTAL
OVERHEAD (MATERIAL, LABOR, & EQUIPMENT TOTAL)	x 15%
GRAND TOTAL

RECOMMENDED BY ENGINEER OF RECORD	APPROVED BY OWNER
DATE	DATE
ACCEPTED BY CONTRACTOR	REVIEWED BY FUNDER
DATE	DATE

DISCLAIMER Any articles, templates, or information provided by Smartsheet on the website are for reference only. While we strive to keep the information up to date and correct, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability, or availability with respect to the website or the information, articles, templates, or related graphics contained on the website. Any reliance you place on such information is therefore strictly at your own risk.