CONTRACT_CHANGE_ORDER.pdf
PDF 51 KB Posted
- Solicitation number
- 24-ENG-07b1
- Issued by
- Hamilton County, Indiana
About this file
This is a Contract Change Order form used by the City of Carmel, Indiana, Board of Public Works and Safety for projects within the municipality. The document serves as the official mechanism for documenting modifications to existing contracts, including changes to scope of work, contract pricing, and project timelines. The form provides structured sections for describing the changes being made, referencing supporting documentation such as Requests for Proposal (RFP) and Work Development Change (WDC) orders, and calculating the financial and temporal impacts of the modifications. The change order requires approval from the City Engineer (Brad Pease, PE), the City Clerk (Jacob Quinn), the Presiding Officer (Laura Campbell), and Board Members (James Barlow and Alan Potasnik), as well as signature authorization from both the contractor and city representatives.
The form explicitly states that each change order constitutes "full and final settlement of all direct, indirect, impact costs and time extensions incurred at any time resulting from the performance of the changed work," establishing a definitive closure mechanism for contract modifications. The template includes fields for documenting the original contract price and time, the adjustment amounts (with increase or decrease indicators), the new contract price and completion date, and scheduled adjustment items with associated costs and day changes. This document type is standard administrative procedure for municipal construction projects such as the Raised Crosswalk Improvements project at Gray Road and Hazel Dell Roundabouts, which involves raised crosswalk construction, storm sewer installation, full depth patching, and curb and gutter replacement across six intersection locations in Carmel.
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Text version
CITY OF CARMEL
TO: CONTRACT CHANGE ORDER NO.:
DATE:
PROJECT NAME:
CITY REQ. NO.:
CITY PO NO.:
CITY PO DATE: _
I. You are directed to make the following changes in this Contract:
(Brief Description)
SCHEDULED ADJUSTMENT
ITEM AMOUNT (+) OR (-) DAYS
II. The following referenced Documents further describe the changes outlined in Paragraph I, and are to be considered a part of this Change Order: R.F.P.: ________ W.D.C. No.: _______ Other:_____________________________________________________________________
The changes result in the following adjustment of Contract Price and Contract Time:
Contract Price prior to this Change Order $_______________________ Contract Price will be increased/decreased by this Change Order $_______________________ New Contract Price including this Change Order $_______________________ Contract Time Prior to this Change Order ______ Days _______ Completion Date Net increased/decreased resulting from this Change Order_____ Days Current Contract Time including this Change Order_____ Days _______ Completion Date This Change Order is for full and final settlement of all direct, indirect, impact costs and time extensions incurred at any time resulting from the performance of the changed work.
The Above Changes Are Recommended
The Above Changes Are Accepted:
Approved:
ENGINEER CONTRACTOR Laura Campbell, Presiding Officer
Address Address James Barlow, Member
Alan Potasnik, Member
City/State/Zip City/State/Zip Brad Pease, PE, City Engineer
By:
By:
ATTEST:
Phone:__________________ Phone:__________________ Jacob Quinn, Clerk
Date:___________________ Date:___________________ Date: _________________
Version 2024-09-23
File details come from the government source that posted it. Updated .