WP E-Signature by Approve Me - Sign Documents Using WordPress -

Residential: Change Order Approval

Please review the Change Order document provided to you and sign below to authorize the proposed changes to your project scope, pricing, and/or schedule.

Service Provider: Strucra LLC
Hereinafter referred to as the "Contractor" or "Strucra"
projects@strucra.com
https://strucra.com
NJ HIC License #: 13VH13812400
PA HIC Reg #: PA203688
Insured by: Property and Casualty Insurance Company of Hartford (CGL Limit $1,000,000 per occurrence)

*The official registration number of the contractor can be obtained from the Pennsylvania Office of Attorney General's Bureau of Consumer Protection by calling 1-888-520-6680. Registration does not imply endorsement.*

I. Reference Information & Cost

Change Order Number:

Original Bid Number:

Change Order Amount ($):
$

*In the event of any discrepancy between the information entered in this approval form and the Contractor's official written Change Order document, including scope, pricing, materials, schedule, or other terms, the official written Change Order document shall govern and control.*

Client Name:

II. Change Order Terms

Scope of Change Order:
1. The Change Order document provided to you describes the proposed changes to the original project scope, including any modifications to work, materials, costs, and/or timeline.
2. By signing this approval, the Client confirms that they have received and reviewed the Change Order document in full.
Cost Adjustment:
1. Any cost adjustments (increases or credits) are detailed in the Change Order document you received and confirmed in Section I above.
2. If this Change Order increases the project cost, the Client agrees to pay the additional amount as specified.
3. If this Change Order decreases the project cost, the credit will be applied to the final invoice.
Payment for Additional Costs:
1. Payment for any additional costs resulting from this Change Order is due upon signing and before change order work begins, unless otherwise agreed in writing.
2. The Contractor will provide a payment link or invoice for any additional amounts due.
3. The Contractor is not obligated to commence Change Order work until this Change Order is signed and any required payment is received.
Timeline Impact:
1. Any impact to the project timeline is described in the Change Order document you received.
2. The Client acknowledges that this Change Order may affect labor scheduling, material procurement, sequencing, and the original estimated completion date.
Integration with Original Agreement:
1. This Change Order, once signed, becomes part of the original Project Approval Contract and is subject to all terms and conditions contained therein.
2. In the event of a conflict between this Change Order and the original Project Approval Contract, this Change Order controls only with respect to the specific changes described herein. All other terms of the original Agreement remain in full force and effect.
Lien Waivers:
1. Lien waiver terms from the original Project Approval Contract apply to all Change Order work.
Response Time:
1. As agreed in your Project Approval Contract Terms, this Change Order must be reviewed and signed by 5:00 PM on the next business day after receipt. If delivered after 5:00 PM or on a non-business day, the deadline is 5:00 PM on the next business day.
2. If not signed within this timeframe, pricing may be revised, work may be paused, or the project may be rescheduled.
3. No Change Order work will commence until the Change Order has been signed by both the Client and the Contractor and any required payment has been received.

III. Acknowledgment & Authorization

Please Review and Confirm:

Change Order Review

I confirm that I have received and carefully reviewed the Change Order document provided to me, including the description of changes, cost adjustments, and timeline impact.

Cost Acknowledgment

I understand and agree to the cost adjustment entered in Section I above. If additional payment is required, I agree to pay the amount due before change order work begins.

Timeline Acknowledgment

I understand that this Change Order may affect labor scheduling, material procurement, sequencing, and the original estimated completion date.

Authorization

I authorize Strucra LLC to proceed with the changes described in the referenced Change Order. I understand that this approval is binding and becomes part of my original Project Approval Contract.

© 2026 Strucra LLC. All rights reserved. This contract template is proprietary to Strucra LLC. Unauthorized copying, adaptation, distribution, or reuse is prohibited except as necessary for execution and recordkeeping in connection with a Strucra project.

Signature

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

February 3, 2026 8:50 pm EDT

Residential: Change Order Contract Uploaded by Matthew Slaza, Founder & CEO - sales@strucra.com IP 2601:40:cb01:6a10:c77:59ed:2879:fe15