28-Doc 00 63 63 - Change Order.pdf

This is a Change Order form issued by Horsham Township in Pennsylvania for a demolition project (Contract No. 2026-00182). The change order document, EJCDC Form C-941, is prepared by Gilmore & Associates, Inc. (Engineer) and pertains to work being performed by a contractor under the township's direction. The form provides a standardized template for documenting modifications to the original contract, including changes to the scope of work, contract price, and contract timeline. The project involves demolition of an existing residential home, detached garage, two sheds, and an asphalt driveway at 234 McKean Road, along with capping of a domestic water well and abandonment of a sanitary service line. Site restoration includes temporary reconstruction of a stream crossing damaged by previous flooding, grading of disturbed areas to match surrounding topography, and permanent stabilization. A mandatory Pre-Bid Meeting was scheduled for Thursday, April 2, 2026, at 1100 Limekiln Pike, Ambler, Pennsylvania.

The Change Order form itself does not contain specific pricing information, contract time adjustments, or completion details, as these fields remain blank in the template document. The form is structured to capture net increases or decreases to the contract price and contract times, with designated signature lines for authorization by the Engineer, Owner, and Contractor. No information regarding set-asides, incumbent contractors, funding sources, or specific budget amounts is provided within this particular change order document. The form serves as the administrative mechanism for formally documenting any modifications agreed upon by all parties to the original contract agreement.