CONTRACT_CHANGE_REQUEST.pdf

This is a blank contract change request form issued by the City of Carmel, Indiana, for use in requesting modifications to an existing contract related to the 116th Street and Hoover Road Roundabout Construction project. The form is designed to document and formally process any changes to the original contract scope of work, including the rationale for modifications, associated cost adjustments, and impacts to project timeline and staffing requirements. The document serves as a template to be completed when changes to the contract become necessary during project execution.

The form requires detailed information regarding the scope of work changes, reasons for modification, approximate cost impacts, and whether the change necessitates additional contract time or personnel resources. Contractors must identify any trade specialists and the number of personnel required, along with the duration of their engagement. The completed form must be reviewed and approved by the engineer and other designated officials, with provisions for attaching supporting documentation to substantiate the requested changes. This change request mechanism allows the City of Carmel to maintain control over contract modifications while ensuring transparent documentation of all alterations to the original agreement for the roundabout construction project.