CONTRACT_CHANGE_REQUEST.pdf

This is a contract change request form from the City of Carmel, Board of Public Works and Safety, related to the 116th Street and Hoover Road Roundabout Construction project in Hamilton County, Indiana. The form provides a standardized template for documenting modifications to the existing construction contract. The document requires specification of the scope of work changes, reasons for the requested modifications, and identification of any supporting attachments. Additionally, the form requests information regarding the timeline impact of proposed changes, including whether additional calendar days will be needed to complete the modified work scope.

The contract change request form includes sections for estimating the approximate cost impact of proposed changes and determining whether additional personnel or specific trades will be required to execute the modified work. The document must be reviewed and approved by appropriate City engineering personnel, with designated spaces for preparer signature, engineer review and recommendation, and secondary review authorization. This form serves as the formal mechanism through which contractors can request adjustments to the original roundabout construction contract, which encompasses HMA pavement, curb and gutter, shared-use path, enclosed storm sewer system, lighting, landscaping, water main relocation, and raised crosswalks at the 116th Street and Hoover Road intersection.