CONTRACT_CHANGE_ORDER.pdf
PDF 51 KB Posted
- Attached to
- 116th Street and Hoover Road Roundabout Construction State and local contract opportunity
- Solicitation number
- 22-ENG-03
- Issued by
- Hamilton County, Indiana
About this file
This is a Contract Change Order form template issued by the City of Carmel, Indiana, for managing modifications to construction contracts. The document provides a standardized framework for documenting changes to contract scope, price, and timeline for projects under the City's jurisdiction. The form includes sections for describing the nature of changes, identifying referenced documents such as Requests for Proposal and Work Directive Change numbers, and calculating the cumulative impact on contract price and completion date. The change order requires approval from the City Engineer, contractor, and the City's Board of Public Works and Safety, with signature authority delegated to the Presiding Officer and board members Laura Campbell, James Barlow, and Alan Potasnik, along with the City Clerk Jacob Quinn.
The document serves as the mechanism for processing change orders on the 116th Street and Hoover Road Roundabout Construction project in Carmel. Change orders under this template address cost adjustments (increases or decreases), time extensions or reductions in contract duration, and establish that the change order constitutes full and final settlement of all direct, indirect, and impact costs resulting from the changed work. The form requires documentation of the contract price prior to the change order, the dollar amount of adjustment, the new total contract price, the original contract completion date, any adjustment to contract time in days, and the revised completion date, ensuring transparent tracking of all modifications to the original contract terms.
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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 .