157-25 Exhibit.pdf

APPENDIX E Change Directive (Field Work Order) Form Township of West Orange To Basis of Field Work Order Differing Site Condition Field Resolution Error / Omission Owner Request Value Engineering Contract Time No Change ___Days Added _ Days Deducted Field Work Order No. Project No. Project Name Project Location Contract Price (indicate if zero cost) Add: $ Deduct: $___ Cost Basis (check all that apply) Time and Material Not to Exceed Fixed Price Allowance (described below) Unit Price Your company is authorized and directed to proceed with the following (attach additional sheets if needed): Justification: Special Notice: This Field Work Order identifies satisfaction of all compensation and time adjustments related to this change to the Work. Construction Manager (CM) Recommendation (if applicable) Name: Signature Date Architect / Engineer (A /E) Recommendation Name Township of West Orange Department of Administration Division of Engineering Project Manager Approval Name Signature Date Contractor Concurrence Name Signature Date Signature Date