Download:
pdf |
pdfAccording 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 0572-0107. The time required to complete this information is estimated to average 1 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.
U.S. Department of Agriculture
Rural Utilities Service
CONSTRUCTION OR EQUIPMENT
CONTRACT AMENDMENT
2. Date
1. Borrower Designation
5. Bond Extension Attached
4. Contact No.
3. Amendment No.
YES
NO
6. Delivery or Completion Date
a. Original
b. As Amended
Instructions: 1. The Architect-Engineer shall submit three (3) copies of this form to the Owner.
2. If applicable, the Owner shall submit the three (3) copies of this form to RUS for approval.
7. Reasons for, and Details and Description of the Amendment
(If additional space is needed, use reverse or separate sheet)
8. A Summary Of the Original Contract Price and
Amendments thereto, Including this Amendment, follows:
(Amendments which decreased the price are preceded by a (-) minus sign.)
Original Contract Price
$
Amendment Number 1
$
Amendment Number 2
$
Amendment Number 3
$
Amendment Number 4
$
Amendment Number 5
$
Amendment Number 6
$
Amendment Number 7
$
Amendment Number 8
$
Amended Contract Price
$
This amendment, providing for an increase of $
/ decrease of $
in the contract price is submitted pursuant to the provisions of said contract. This Amendment does
, does not
,
require approval of the Administrator of RUS. To the extent the items hereof are approved, the contract shall be amended.
RECOMMENDED
Architect-Engineer
Date
ACCEPTED
Owner
Contractor
By
By
President
Date
President
Date
This Amendment must be signed with the full name of the Contractor. If the Contractor is a partnership, this Amendment must be signed in the
partnership name by a partner. If the Contractor is a corporation, this Amendment must be signed in the corporate name by a duly authorized
officer.
RUS Form 238 (Rev. 2-04)
1. Borrower Designation
2. Contract No.
CONSTRUCTION OR EQUIPMENT CONTRACT AMENDMENT (continued)
Item
No.
Changes in Cost (decrease preceded by (-) minus sign.)
Reason for and Description of Contract Amendment No.
Labor or
Installation
Material or
Equipment*
Total
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
* To be completed when applicable.
RUS Form 238 (Rev. 2-04)
File Type | application/pdf |
File Modified | 2007-07-23 |
File Created | 2007-07-23 |