change order form example

Professional Services Change Order Form

Instructions for Use

• Complete all fields in the "Change Description" section with specific technical or operational details to ensure there is no ambiguity regarding the scope adjustment.
• Ensure this document is signed by an authorized representative from both the Client and the Service Provider before any work related to the change commences.
• Attach this document as an addendum to the original Master Services Agreement (MSA) or Statement of Work (SOW) to ensure the new terms are legally integrated into the existing contractual relationship.

Parties & Definitions

This Change Order ("CO") is entered into on [Date] by and between:

Service Provider: [Company Name], with a principal place of business at [Address]. Client: [Client Full Legal Name], with a principal place of business at [Address].

This CO modifies the agreement dated [Original Agreement Date] ("Agreement"). All terms and conditions of the Agreement remain in full force and effect except as expressly modified herein.

Operative Clauses

1. Description of Change: The parties agree to modify the scope of services as follows: [Detailed description of work to be added, removed, or modified].
2. Impact on Schedule: The project timeline is modified as follows:
   • No change to project delivery date.
   • New completion date: [New Completion Date].
   • Extension of [Number] business days.
3. Impact on Fees: The total compensation for the services described in this CO is:
   • Fixed Fee: $[Amount]
   • Time and Materials (Hourly Rate: $[Rate] / Estimated Hours: [Number])
   • No change to existing contract fee structure.
4. Payment Terms: Payment for the services outlined in this CO shall be due [Number] days from the date of invoice.
5. Conflict of Terms: In the event of a conflict between the terms of this CO and the original Agreement, the terms of this CO shall prevail solely with respect to the scope defined herein.
6. Authorization: By signing below, the parties confirm they have the authority to bind their respective organizations to these modifications.

Signature & Acknowledgment

Service Provider Signature: __________ Printed Name: [Name] Title: [Title] Date: [Date]

Client Signature: __________ Printed Name: [Name] Title: [Title] Date: [Date]

Legal Disclaimer: This document is a general framework and does not constitute legal advice. Contractual requirements vary significantly by jurisdiction and industry. Please consult with qualified legal counsel to ensure compliance with local laws and specific project requirements.