CHANGE ORDER

Change Order #

Existing Contract #

Date:

State License No. 888630  www.PlumbingPro.com

650.557.0000 415.334.0733

Fax 415.467.1119

200 Valley Dr., #51, Brisbane, CA 94005
Owner:
Address:
City:	State:	Zip:
Phone:	Fax:
Cell:	Other:
Email:
Job Location:

Description of the Changes and Description of the Significant Material to be Used and Equipment to be installed:

(Enter description starting here; delete this text)

Revised Approximate

Completion Date:

Pricing of additions/credits specified herein:	$

Previous Contract amount:	$

Revised Contract Total:	$0.00

The Schedule of Progress Payments will be affected in the following manner:

Amount Due	Work or services scheduled to be performed and materials and equipment to be supplied	Date Due
1. $
2. $
3. $
4. $

The buyer may not require the contractor to perform extra or change-order work without providing written authorization. Failure to comply with the requirements of the civil code section does not preclude the recovery of compensation for work performed based upon legal or equitable remedies designed to prevent unjust enrichment.

Accepted: The above pricing, all specifications, and changes to the schedule of progress payments of this Change Order are satisfactory and are hereby accepted. This Change Order becomes part of and in conformance with the existing contract. All work is to be performed under the same terms and conditions as specified in the original contract unless otherwise specified herein.

For George Salet Plumbing, Inc.

X	X

Owner’s Signature	Date	Representative’s Signature	Date

Owner:	Page 1 of 1 - Change Order #

© 2012 www.amosprint.com

State License No. 888630  www.PlumbingPro.com

650.557.0000 415.334.0733

Fax 415.467.1119

200 Valley Dr., #51, Brisbane, CA 94005

Lyle Workman

2012-07-31