CONTRACT_CHANGE_ORDER.pdf
PDF 51 KB Posted
- Attached to
- 106th and Westfield Water Main Extension
- Solicitation number
- IFB-2026-006
- Issued by
- Hamilton County, Indiana
About this file
This is a Contract Change Order document issued by the City of Carmel, Indiana, for modifications to an existing contract related to the 106th and Westfield Water Main Extension project. The change order provides a template format for documenting adjustments to contract scope, pricing, and timeline. The document includes sections for describing scheduled adjustment items with corresponding cost impacts, referencing supporting documentation such as Requests for Proposal and Work Change Directives, and calculating the net effect on contract price and completion date. The form requires approval signatures from the City Engineer (Brad Pease, PE), the Contractor, the City Clerk (Jacob Quinn), and the Board of Public Works and Safety members (Laura Campbell as Presiding Officer, James Barlow, and Alan Potasnik), along with attestation of the change order execution and effective date.
The change order template does not contain specific pricing details, time adjustments, or project modifications, as the individual line items and dollar amounts remain blank. This is a standardized City of Carmel form designed to document and authorize any changes resulting from the performance of modified work while providing full and final settlement of all direct, indirect, and impact costs and time extensions. The document version date is September 23, 2024, reflecting the current administrative procedures for contract modifications on municipal projects in Carmel, Indiana.
View the file
Other files
Show all 20
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .