Change Order.pdf
PDF 746 KB Posted
- Solicitation number
- 300000130037297
- Issued by
- Michigan
About this file
This is a Contract Change Order form issued by the City of Detroit's Housing and Revitalization Department (HRD), located at the Coleman A. Young Municipal Center. The document serves as an amendment to existing Rehabilitation Construction Contracts for residential properties within Detroit. The change order template provides sections for documenting modifications to interior work by floor, room, or area, with fields to identify the property owner, property address, program name, and contractor information. The form requires signatures from multiple parties including the contractor, homeowner, Housing Compliance Inspector, Program Manager, and Chief of Housing Inspections before any work modifications may commence. The Chief of Housing Inspections retains discretionary authority to waive the homeowner's signature requirement on a case-by-case basis.
The change order form includes cost estimation components with columns for hourly labor rates (HH, LHR) and equipment rental (ER), allowing for both increases and decreases to the original contract amount to calculate a new total contract value. All fields for specific contract numbers, amounts, dates, and cost details are blank in this template version, indicating this is a standard form used for processing contract amendments. No work under the change order may proceed until the document is executed by all required parties, ensuring proper authorization and compliance with Detroit's housing rehabilitation program requirements. The form includes separate sections for inspector verification and underwriter approval, with designated spaces for all required signatures and dates.
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Text version
Coleman A. Young Municipal Center Phone: 313.224.6380 2 Woodward Avenue, Suite 908 Fax: 313.224.1629 Detroit, MI 48226 www.detroitmi.gov
CONTRACT CHANGE ORDER #
DATE:
Case No.:
Property Owner:
Property Address:
Detroit, MI
Current Contract Amount $ Amount of Increase $ +
Amount of Decrease $ - Net Change in Contract Amount $
New Contract Amount $
COST EST. Component HH LHR ER
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 SUBTOTALS $0.00 $0.00 $0.00
Owner's Signature
Owner's Signature
DECREASE
INCREASE
Contractor Address:
Contractor Name:
The Rehabilitation Construction Contract is hereby amended as indicated below:
0.00
Interior: Floor/Room/ Area
Date
0.00
0.00
Program Name:
Phone:
0.00
Phone No.:
This Change Order requires a signature by the Contractor, the Homeowner, the Housing Compliance Inspector, the Program Manager, and the Chief of Housing Inspections. This change order will become a legal and binding amendment to the original General Construction Contract, once all parties sign. No work listed on the change order may be started unless this document is created and signed by all parties involved. The Chief of Housing Inspections may waive the requirement of the Homeowner's signature on a case by case basis.
Email/Alt. Phone:
City, State Zip: Historic:
Compliance Insp.:
Program Manager/Date: Verbal Approval from PM on: Chief of Housing Inspections Signature/Date
Phone No.:
City/State/Zip:
FOR HRD USE ONLY
Inspector's Signature/Date Underwriter/Spec. Signature/Date
Contractor's Name Date
Contractor's Signature Date
Approv. Den. Approv. Den.
0.00
File details come from the government source that posted it. Updated .