CONTRACT_CHANGE_ORDER.pdf
PDF 51 KB Posted
- Attached to
- CFD Stations Remodel Project
- Solicitation number
- IFB-2026-012
- Issued by
- Hamilton County, Indiana
About this file
This is a Contract Change Order form issued by the City of Carmel, Indiana, applicable to municipal construction and public works projects. The document serves as a standardized template for the City of Carmel's Board of Public Works and Safety to formalize modifications to existing contracts. The form accommodates changes to project scope, contract price adjustments, and contract timeline modifications, with designated sections for itemizing scheduled adjustment items with associated costs and day adjustments. The document requires approval signatures from the Engineer (Brad Pease, PE, City Engineer), the Contractor, the Presiding Officer (Laura Campbell), members of the Board of Public Works and Safety (James Barlow and Alan Potasnik), and the City Clerk (Jacob Quinn), ensuring multi-level authorization of all contractual modifications.
The Change Order establishes that all adjustments constitute full and final settlement of direct, indirect, and impact costs as well as time extensions resulting from the performance of changed work. The form documents the contract price prior to the change order, the amount of increase or decrease, and the resulting new contract price, along with the original contract time, net time adjustments, and updated completion dates. Supporting documentation including Requests for Proposal (R.F.P.), Work and Design Change (W.D.C.) numbers, and other referenced materials are incorporated by reference as part of the change order, providing comprehensive documentation of all contractual modifications for projects such as the CFD Stations Remodel Project involving the remodeling of multiple fire stations in Carmel, Indiana.
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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 .