00 63 49 - Work Change Directive Form.pdf
PDF 227 KB Posted
- Solicitation number
- Not on record
- Issued by
- Lancaster County, Pennsylvania
About this file
This is a Work Change Directive Form template developed by Herbert, Rowland & Grubic, Inc. (HRG) for use on the Alterations for Penn Township Municipal Building project in Pennsylvania. The form is designed to authorize contractors to proceed with work changes prior to final agreement on contract modifications. The directive applies to both Contract #1 (General Construction) and Contract #2 (Electrical Construction) for the Penn Township Municipal Building alterations project. Bids for the project were received online via the PennBid Program until 10:00 AM on September 3, 2026, with the Notice of Intent to Award scheduled for consideration by the Township Board of Supervisors on September 14, 2026. General Construction work includes demolition, sitework, concrete, general alteration construction, exterior replacement finishes, storefront glass, replacement doors, and associated work, while Electrical Construction work includes heating and lighting provisions for the new vestibule, rear entry, and side entry.
The Work Change Directive Form permits the contractor to proceed with changes to the work scope when non-agreement exists on pricing of proposed changes or when project schedule or other reasons necessitate immediate action. The form allows for preliminary, non-binding estimates of changes to contract price and contract time, with options to document the change as a lump sum, unit prices, cost of work, or other basis. Authorization signatures are required from the Engineer (HRG), Owner (Penn Township), and applicable Funding Agency representatives, along with dates of issuance and effectiveness. Supporting documentation and attachments detailing the scope and purpose of the change directive must be provided with the form submission.
View the file
Other files
Show 40 more
Latest 50 of 51 listed here. See the rest on GovTribe.
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Herbert, Rowland & Grubic, Inc. 00 63 49 - 1 006566.0459
WORK CHANGE DIRECTIVE NO. [X]
Date of Issuance: Effective Date: [DATE EXECUTED BY OWNER]
Owner: Contract No.:
Contractor: Contract Name:
Engineer: HRG Project No.:
Project:
Contractor is directed to proceed promptly with the following change(s):
Description: [Description of the change to the Work]
Attachments: [List documents supporting change]
Purpose for Work Change Directive: [Describe the purpose for the change to the Work]
Directive to proceed promptly with the Work described herein, prior to agreeing to changes on Contract Price and Contract Time, is issued due to:
Non-agreement on pricing of proposed change
Necessity to proceed for schedule or other Project reasons.
Estimated Change in Contract Price and Contract Times (non-binding, preliminary):
Contract Price: $ [increase] [decrease] [not yet estimated].
Contract Time: days [increase] [decrease] [not yet estimated].
Basis of determining change in Contract Price:
Lump Sum Unit Prices Cost of the Work Other
RECOMMENDED: AUTHORIZED BY: APPROVED (if applicable):
By: By: By:
Engineer (Authorized Signature) Owner (Authorized Signature) Funding Agency
Title: Title: Title:
Date: Date: Date:
File details come from the government source that posted it. Updated .