Sample Cover Letter Change Order Request Form - Indiana Constructors printable pdf download

Sample Cover Letter Change Order Request Form - Indiana Constructors

CHANGE ORDER REQUEST FORM

Sample Cover Letter

NOTE: A cover letter should be generated on your company’s letterhead.

January 31, 2015

Mr. John Brown, PE/S Greenfield District Office

Indiana Department of Transportation

32 South Broadway

Greenfield, IN 46140-7751

RE: INDOT Contract No. R-12345A, Overtree Avenue Rehabilitation

Change Order Request No. 1: Additional Drive Approach, Line T, Sta. 100+00

Dear Mr. Brown:

Please consider this letter as a formal change request notice. Per your request, we

submit the enclosed Change Order Request form and associated supporting

information.

On Monday, January 26, you provided a written request for us to furnish change order

pricing for adding a new 6 IN. PCCP drive approach and associated items at Line T,

Sta. 100+00, left. Enclosed is a Change Order Request Form, which includes the

change order details, associated costs and a schedule revision.

The current schedule revision included in this change order request is dependent upon

receipt of a written approval by the close of business day, February 16, 2015.

Thank you for consideration of this request. If you need clarification or additional

information, please contact me at (555) 555-5555.

Sincerely,

David Green, P.M.

Sample Cover Letter Change Order Request Form - Indiana Constructors