RD 1924-7 Contract Change Order

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FORM APPROVED
OMB NO. 0575-0042
Exp. Date: MM/DD/YY

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

UNITED STATES DEPARTMENT OF AGRICULTURE
RURAL DEVELOPMENT AND
FARM SERVICE AGENCY
CONTRACT CHANGE ORDER

ORDER NO.
DATE
STATE
COUNTY

CONTRACT FOR
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)

$

$

JUSTIFICATION:

INCREASE
in Contract Price

DECREASE
in Contract Price

TOTALS

$

0.00

0.00

NET CHANGE IN CONTRACT PRICE

$

0.00

0.00

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
Recommended
Accepted

(Owner)

(Date)

(Owner's Architect/Engineer)

(Date)

(Contractor)

(Date)

(Name and Title)

(Date)

Approved by Agency
ORIGINAL-BORROWER'S CASE FOLDER
COPY-CONTRACTOR
COPY-BORROWER

Form RD 1924-7 (Rev. 2-97)
POSITION 6

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A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection
of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The
OMB Control Number for this information collection is 0575-0042. Public reporting for this collection of information is estimated to be approximately 15 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the
collection of information. All responses to this collection of information are voluntary. However, in order to obtain or retain a benefit, the information in this form is
required under Section 7 CFR 1924-A, Planning and Performing Construction and other Development. Rural Development has no plans to publish information collected
under the provisions of this program. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden to: Information Collection Clearance Officer, Rural Development Innovation Center, Regulations Management Division at
ICRMTRequests@usda.gov