RD 1924-7 Contract Change Order

Form RD 1924-7
(Rev. 2-97)

FORM APPROVED
OMB NO. 0575-0042
OMB NO. 0570-NEW
UNITED STATES DEPARTMENT OF AGRICULTURE
RURAL DEVELOPMENT AND
FARM SERVICE AGENCY

CONTRACT

CHANGE

ORDER NO.
DATE

ORDER
STATE

CONTRACT FOR

COUNTY

OWNER

To
(Contractor)

You are hereby requested to comply with the following changes from the contract plans and specifications:

Description of Changes
(Supplemental Plans and Specifications Attached)

DECREASE
in Contract Price

INCREASE
in Contract Price

$

TOTALS
NET CHANGE IN CONTRACT PRICE

$

$
$

JUSTIFICATION:

The amount of the Contract will be (Decreased) (Increased) By The Sum Of:
Dollars ($

).

Dollars ($

).

The Contract Total Including this and previous Change Orders Will Be:

The Contract Period Provided for Completion Will Be (Increased) (Decreased) (Unchanged):

Days.

This document will become a supplement to the contract and all provisions will apply hereto.
Requested
(Owner)

(Date)

Recommended
(Owner’s Architect/Engineer)

(Date)

Accepted
(Contractor)

(Date)

Approved by Agency
(Name and Title)

(Date)

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid
OMB control number. The valid OMB control number for this information collection is 0575-01042. The time required to complete this information collection is estimated to average 15 minutes
per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information.
ORIGINAL-BORROWER’S CASE FOLDER
COPY -CONTRACTOR
COPY-BORROWER

POSITION 6

Form RD 1924-7 (Rev. 2-97)