||Company NameStreetCity, State Postal Code
Friday, April 23, 2021
|First Name Last Name
|City, State Postal Code
Dear First Name:
We are in receipt of your Change Order Change Order Number
which compensates us for the direct costs incurred in performing the extra work referred to
in that change order. However, as you know, the directive to perform this extra work and the
performance of this extra work had such an impact and affect on the performance of the
balance of the work on this project that we incurred additional costs and expenses in
performing the balance of the contract work which we otherwise would not have incurred.
We understand that this Change Order has been issued so that you can pay us for the direct
costs we incurred. We thus are executing and returning to you the Change Order with the
understanding that it is limited to that purpose and with the further understanding that we
have reserved and preserved our claim for the impact costs which we have incurred and that
our right to proceed on our impact claim is not in any way adversely affected by the
execution of this Change Order.
If you have any questions, please do not hesitate to contact me.
First Name Last Name