CONTRACT_CHANGE_ORDER.pdf
PDF 51 KB Posted
- Attached to
- 25-STR-01 106th St Bridge Repair
- Solicitation number
- IFB-2024-018
- Issued by
- Hamilton County, Indiana
About this file
The document is a Contract Change Order form issued by the City of Carmel, Indiana, designed to formally document and authorize modifications to an existing contract for the 25-STR-01 106th St Bridge Repair project. The form provides a structured template for detailing changes in contract scope, price, and timeline, with sections to describe the specific adjustments, reference supporting documents, and outline the financial and scheduling impacts of the proposed modifications.
The change order form includes placeholders for critical information such as the original contract price, the amount of increase or decrease resulting from the change, the new contract price, and any changes to the contract completion timeline. It requires signatures from the engineer, contractor, and city officials, including the Presiding Officer, City Board Members, and City Engineer, to validate the proposed changes. The document serves as a comprehensive record of contract amendments, ensuring all parties acknowledge and agree to the modifications, with a statement indicating that the change order represents full and final settlement of all direct, indirect, impact costs, and time extensions related to the changed work.
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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 .