9-10. New Price Request Form and Master Change Order Form.pdf
PDF 69 KB Posted
- Solicitation number
- BVB 411-26 YM
- Issued by
- Nueces County, Texas
About this file
This document is a New Price Request Form and Master Change Order Form utilized by the City of Amarillo's Capital Projects & Development Engineering Department to manage contract modifications and pricing adjustments. The form serves as the administrative mechanism for documenting new items, quantities, and pricing changes during project execution, with sections for contractor submission, designer review, project representative verification, and city authorization. The form requires detailed itemization of new work including descriptions, units of measure, estimated quantities, and unit pricing, along with formal approval signatures from both the contractor and City of Amarillo representatives.
The Master Change Order section of the form tracks cumulative project cost impacts by documenting original and revised estimates, changes in quantities, unit prices, and net dollar amounts per change order. The form maintains running totals of previous change orders and calculates revised contract totals, with additional provisions for adjusting contract time in working days. Approval authority rests with the Director of Capital Projects & Development and the City Manager, with copies distributed to departmental accounting, contractor representatives, and public works project coordinators. The form provides no specific pricing information, contract amounts, or project timelines in this template version, as it functions as a blank administrative document for future project modifications.
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Text version
CITYOFAMARILLO
CAPITAL PROJECTS & DEVELOPMENT ENGINEERING
NEW PRICE REQUEST
PROJECT JOB #:
CONTRACTOR:
PROJECT DESCRIPTION:
EXPLANATION:
RECOMMENDED:
Item No.
Description of New Item Unit of Measure
Estimated Quantity
Unit Price
Estimated Total Amount
Designer:______________________________________________________________________________________ Date
Project Representative: _____________________________________________________________________ Date
APPROVED:
Contractor: __________________________________________________________________________________ Authorized Representative Signature, Title Date
ACCEPTED:
City of Amarillo: ____________________________________________________________________________ Authorized Representative Signature, Title Date
DATE:
CHANGE ORDER NO.
ORIGINAL REVISED NET NET
ITEM ESTIMATE ESTIMATE CHANGE UNIT UNIT CHANGE
NO. DESCRIPTION QUAN. QUAN. IN QUAN. MEASURE PRICE IN DOLLARS
NET THIS CHANGE ORDER $ 0.00
PREVIOUS CHANGE ORDERS $ 0
TOTAL OF CHANGE ORDERS $ 0.00
ORIGINAL CONTRACT TOTAL $
REVISED CONTRACT TOTAL $ 0.00
APPROVED: RECOMMENDED:
Contractor Engineer
By Director of Capital Projects & Dev. Engineering
City Manager cc: Departmental Accounting Contractor Project Representative Public Works Project Coord.
REVISED CONTRACT TIME IN WORKING DAYS- 0
DESCRIPTION OF CHANGE
CHANGE ORDER
CITY OF AMARILLO
CAPITAL PROJECTS & DEVELOPMENT ENIGEERING
CONTRACTOR:
JOB NO.
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