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glechna <br /> Appendix D — Change Control Form <br /> CITY OF EVERETT <br /> CHANGE ORDER <br /> PROJECT: PROJECT NO.: <br /> PURCHASE FILE NO.: <br /> ORDER NO.: <br /> ISSUE DATE: CO NO.: <br /> The customer CONTRACTOR: <br /> CONTACT: <br /> TITLE: <br /> REASON: <br /> REFERENCE:(list and attach preceding Contemplated Change Notice,Change Directive, Site Instruction or quotation) <br /> DESCRIPTION: <br /> (provide short description of additional work to be completed;reference and attach documents,specifications and/or drawings <br /> describing the contemplated change including dates) <br /> Subject to the Terms and Conditions of the Contract,the Contractor hereby offers to perform the changes to the Work <br /> described above with the following net adjustments to the Contract Price and Contract Time: <br /> Contract Price Is hereby: (a)Increased"by $0.00 <br /> (b)decreased by $0.00 <br /> Revised Contract Price: $0.00 <br /> I/LI" <br /> Statement Of Work-Officer Parking r' - City of Everett <br />