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Page 1 of 4 Change Order No._________________________ Change Order Effective Date:________________ CITY OF EVERETT Unilateral Change Order Project Title Department Work Order No. Contractor: Contract Award Date: City Staff Contact: Change Order No. Change Order Effective Date CONTRACT SUM Original Contract Sum Total of Previous Change Orders This Change Order Contract Sum After this Change Order Amount $ $ $ $ + WSST $ $ $ $ Total $ $ $ $ CONTRACT TIME Original Contract Time Working Days / Calendar Days Date of Notice to Proceed Cumulative adjustment to time by prior Change Orders Adjustment to time by this Change Order New Contract Time (including this Change Order)