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DocuSign Envelope ID:07A4359F-6D47-4987-B1F1-BF667ACBB3BA <br /> WORK CHANGE DIRECTIVE NO.: [Number of Work Change Directive] <br /> Owner: Orange County Owner's Project No.: <br /> Engineer: Draper Aden Associates Engineer's Project No.: 2200365 <br /> Contractor: Contractor's Project No.: <br /> Project: Orange County Solid Waste Drainage Repairs <br /> Contract Name: <br /> Date Issued: Effective Date of Work Change Directive: <br /> Contractor is directed to proceed promptly with the following change(s): <br /> Description: <br /> [Description of the change to the Work] <br /> Attachments: <br /> [List documents related to the change to the Work] <br /> Purpose for the Work Change Directive: <br /> [Describe the purpose for the change to the Work] <br /> Directive to proceed promptly with the Work described herein, prior to agreeing to change in Contract <br /> Price and Contract Time, is issued due to: <br /> Notes to User—Check one or both of the following <br /> ❑ Non-agreement on pricing of proposed change. ❑ Necessity to proceed for schedule or other reasons. <br /> Estimated Change in Contract Price and Contract Times (non-binding, preliminary): <br /> Contract Price: $ [increase] [decrease] [not yet estimated]. <br /> Contract Time: days [increase] [decrease] [not yet estimated]. <br /> Basis of estimated change in Contract Price: <br /> ❑ Lump Sum ❑ Unit Price ❑ Cost of the Work ❑ Other <br /> Recommended by Engineer Authorized by Owner <br /> By: <br /> Title: <br /> Date: <br /> EJCDC°C-940,Work Change Directive. <br /> Copyright°2018 National Society of Professional Engineers,American Council of Engineering Companies, <br /> and American Society of Civil Engineers.All rights reserved. <br /> Page 1 of 1 <br />