CONTRACT_CHANGE_ORDER.pdf
PDF 51 KB Posted
- Solicitation number
- 22-ENG-05
- Issued by
- Hamilton County, Indiana
About this file
This document is a Contract Change Order form issued by the City of Carmel for the 99th Street Path Construction project between Westfield Boulevard and Haverstick Road. The form is a standard template designed to document and authorize modifications to an existing contract, with sections for describing changes, adjusting contract price and time, and obtaining approvals from the engineer, contractor, and city officials. While the specific details are not filled in, the form is structured to capture changes in project scope, cost, and timeline, with spaces for itemizing adjustments, referencing supporting documents, and recording the financial and scheduling impacts.
The blank Contract Change Order form does not provide specific pricing or funding details for this particular project. However, it indicates that the document will be used to formally document and approve any modifications to the original contract, including increases or decreases in contract price and potential extensions or reductions in project timeline. The form requires signatures from the engineer, contractor, and city officials, including the Presiding Officer, Board Members, and City Engineer, to validate any proposed changes 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 .