CONTRACT_CHANGE_REQUEST.pdf

This is a Contract Change Request form from the City of Carmel, Indiana, used to document modifications to an existing construction contract for the Raised Crosswalk Improvements project at Gray Road and Hazel Dell Roundabouts. The form provides a standardized template for requesting changes to the scope of work, which includes construction of raised crosswalks at six intersections: 116th Street & Gray Road, 126th Street & Gray Road, Main Street & Gray Road, 116th Street & Hazel Dell Parkway, 126th Street & Hazel Dell Parkway, and Cherry Creek & Hazel Dell Parkway. Associated work includes installation of storm sewer, full depth patching, replacement of curb and gutter, and sidewalk construction. The form requires documentation of the requested change scope, reasons for the modification, and identification of any related contracts.

The Contract Change Request form captures critical project management information including the approximate cost change to the contract price, whether additional time is required to complete the work (with calendar days specified if applicable), and whether additional personnel will be needed for implementation. The form also requires identification of trade classifications and the number of personnel needed if applicable, along with the duration of such assignments. Attachments must be identified and documented, and the form requires review and approval from both the preparing engineer and a reviewing authority, with space provided for engineer comments and recommendations regarding the proposed contract change.