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I I I I I I' I I I, I, I I I I I I I I I, 0460 - WO~X CHANGE J:P.ECTlVE WORKC~~GED~CTIVE (1nsrructions on reverse side) No. PROJECT................................... . DATE OF ISSUANCE . . . . I .. + ~ . ~ . .. . .. . , . 4 . . . ... ... . ~ p ... . . ... . EFFECfIVE DATE .................................... OWNER ..............,........ '. . . . . .. . . . . . . . . .. . . . .. . . . .. 1 .. . . . . . . .. .. . .. .. . . . .. .. ..... ... .. . .. .. .. . . . . . .. . . . . .. .. . . OWNER's Contrac: No. '" ..........,..... ......,.. ..................... ........ ....... ........ ..... .... .... ...... CONTR..J\CfOR ..... ................... , . ,...... . . .. ENGINEER...,......................................... You are directed (0 prace;:d prompdy with cht: tollowing changc(s}: Description: Purpose of Work Change Directive: A(rachm~ncs: (List documents supporting change) If a claim is made that the above change(s) have affected Contract Price or Contract Times any claim for a Change Order based thereon will involve one or more of the following methods ofdetermining the ~ffecr of the change(s). Method of determining change in Contract Price: Method of determining change in Conua.ct Times: o U nit Prices o Contractor's records C Lump Sum o Engineer's records [] Other o Other Esumared increase (decrease) in Comrac: Price: $ If the change involves an increase. the estimated amounr rs no! (0 be exceeded without fUrIJ1er authorizatIon. E$timated increase (decrease) in Contrac~ Times: Subsmmial Completion: days~ Ready for final payment: days. If the change involves an increase. the estimated tImes are not to be exceeded without iurther ilmhorization. RECOMMENDED: AUTHORIZED: ENGINEER OWNER By: By: l^uUtontea .sUP'\4U,U'-e~ tA-.,..-nonUti ~~\lf1:t E.Jcr;c :-"0. /910-S-F; 1990 Editioni ?f~o::!n:d bv the EngIneer.; JOint Contrac: Documents Cumml!!ee lna ~nuor>ed bv ";"he ,-\ssoclated General C.Jr,tf4':or.; of Ame:-:c:l.