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Confidential & Proprietary Information of Ameresco, Inc. <br />Page 39 of 54 <br />ATTACHMENT F <br />CHANGE ORDER <br />Change Request No. <br />CUSTOMER: <br />Department: <br />Project No. Contract No. Site: <br />Title: <br />I. REQUEST Date: <br />(a)Requested by:Of <br />(b)Description of change: <br />II. AMERESCO’S AGREEMENT <br />For all costs involved in this change including extensions of time herein requested, Ameresco proposes <br />to perform the work described in accordance with the provisions of the Agreement for the price as <br />follows. <br />Payment shall be made on the basis of: <br />(a)Predetermined lump sum total of (add) (deduct)$ <br />(b)Lump sum "not-to-exceed” (add) (deduct)$ <br />(Max. price based on contract or Negotiated unit prices) <br />NOTE: ONLY IF RATE TABLE INCLUDED: () <br />(c)Time & Material Basis <br />"not-to-exceed” (add) (deduct)$ <br />(Computed in accordance with provisions of the Contract) <br />Place an "X" beside selected proposal method and strike out either (add) or (deduct) whichever does <br />not apply. If necessary, attach detailed estimates and breakdown for above in accordance with <br />change order instruction. A claim for work performed under protest may be submitted per (c) <br />above. <br />An extension of contract time of calendar days to <br />is requested. <br />ATTACHMENTS