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 template document prepared by the City of Carmel's Board of Public Works and Safety for modifications to construction contracts. The form provides a standardized framework for documenting changes to contract scope, price, and schedule adjustments. The template includes sections for itemized descriptions of changes, adjustment amounts, schedule modifications in days, and references to supporting documentation such as Requests for Proposal and Work Direction Change Orders. The change order requires signatures and approval from the City Engineer (Brad Pease, PE), the Contractor, the City Clerk (Jacob Quinn), and three members of the Board of Public Works and Safety (Laura Campbell as Presiding Officer, James Barlow, and Alan Potasnik), along with corresponding dates and contact information. The document specifies that change orders represent full and final settlement of all direct, indirect, and impact costs and time extensions resulting from the performance of changed work.
The template accommodates adjustments to the contract price both upward and downward, with fields for documenting the original contract price, the adjustment amount, and the resulting new contract price. Similarly, contract time adjustments are tracked through documented increases or decreases in days and corresponding completion dates. This standardized change order format ensures consistent documentation of contract modifications across City of Carmel projects and establishes clear procedures for authorization and approval by relevant municipal officials and contractor representatives before implementation of any contract changes.
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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 .