RD2.32 FIELD ORDER
(see [II]:3.1)

University of California

Facility:_______________________________________________________

Project Number: _____________________________________

FIELD ORDER NO. ____________

Project Name:_______________________________________________________

Project Location:_______________________________________________________

Contract Number:_________________________ Contract Date: _________________________

To Contractor:_______________________________________________________

Address: _______________________________________________________

DESCRIPTION OF CHANGE:

Estimated Adjustment
of Contract Sum: _________________________

Estimated Adjustment
of Contract Time: _________________________

__________________________________________
(University's Representative)

By: _________________________ (Name)

_________________________ (Title)

Date: _________________________

UNIVERSITY'S REPRESENTATIVE:CONTRACTOR:
By: _________________________
(Signature) 		By: _________________________
(Signature)
_________________________
(Typed or Printed Name) 		_________________________
(Typed or Printed Name)
_________________________
(Title) 		_________________________
(Title)
Date: _________________________ Date: _________________________

Note: This Field Order will be superseded by a Change Order that will include the scope of the change in the Work and any actual adjustments of the Contract Sum and the Contract Time, if applicable.

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