CONTRACT_CHANGE_ORDER.pdf

PDF 51 KB Posted

Attached to
Clay Center Road Path Construction and Culvert Replacement Project State and local contract opportunity
Solicitation number
22-ENG-15
Issued by
Hamilton County, Indiana

About this file

This document is a Contract Change Order form from the City of Carmel, Indiana, designed to document modifications to an existing contract for the Clay Center Road Path Construction and Culvert Replacement Project. The form provides a template for detailing changes to the original contract, including adjustments to contract price, contract time, and specific work modifications. While the form is blank and lacks specific details about the current change order, it is structured to capture comprehensive information about the proposed changes, including a brief description of modifications, scheduled adjustments, and impacts on the overall project timeline and budget.

The form includes sections for documenting the financial and temporal implications of the contract change, with spaces to record the original contract price, the amount of increase or decrease resulting from the change order, and the new total contract price. It also tracks changes to the project's completion timeline, with fields for the original contract time, net time adjustments, and the revised completion date. The document requires signatures from the engineer, contractor, and city officials, including the Presiding Officer, Board Members, and City Engineer, to validate the proposed changes and ensure proper administrative approval.

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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 .