The contract is hereby modified and amended as follows:
It is mutually agreed that the contract price dated _______, 20 __ is increased/decreased by $ ______ payable/ deductible immediately upon completion of the work called for in this change order.
As a result of this change order, the time for completion of the above-mentioned contract is hereby extended by an additional ___ days. This change order is incorporated into and governed by the above mentioned contract and is incorporated therein.