CONTRACT_CHANGE_REQUEST.pdf

This is a Contract Change Request form issued by the City of Carmel, Indiana, for use in requesting modifications to existing contracts. The form provides a structured template for documenting proposed changes to contract scope of work, including sections for identifying the specific changes requested, stating the reason for the modification, and estimating the cost impact. The form requires contractors to indicate whether additional time is needed to complete the scope changes and whether additional personnel will be required, including the specific trades, number of personnel, and duration of employment. The document also includes designated spaces for identifying supporting attachments and requires signatures from the preparer, reviewer, and reviewing engineer, with a section reserved for engineer comments and recommendations regarding the proposed change request.

This blank template document is directly associated with the City of Carmel's Raised Crosswalk Improvements project at Gray Road and Hazel Dell Roundabouts. The change request form would be utilized if the contractor or City identifies modifications necessary during the construction phase of the raised crosswalk installations scheduled for completion by September 10, 2026. The form is designed to facilitate formal documentation and authorization of any contract modifications, cost adjustments, schedule extensions, or resource reallocations that may be required as the project proceeds through its four phases across the six designated intersection locations in Carmel, Indiana.