CONTRACT_CHANGE_REQUEST.pdf

PDF 32 KB Posted

Attached to
106th and Westfield Water Main Extension
Solicitation number
IFB-2026-006
Issued by
Hamilton County, Indiana

About this file

This is a Contract Change Request form from the City of Carmel, Indiana, used for requesting modifications to an existing construction contract related to the 106th and Westfield Water Main Extension project. The form serves as the official mechanism for documenting changes to the original contract scope of work, which involves the installation of approximately 800 feet of water main using either open cut or directional drilling methods. The change request requires detailed documentation of the proposed scope modifications, justification for the changes, and identification of any impacts to project timeline, cost, or resource requirements.

The Contract Change Request form requires submission of estimated cost impacts, determination of whether additional contract time is necessary to complete the work, and identification of any additional personnel or trades required for completion. The form includes sections for engineer review and recommendations, with designated areas for signature approval from the project preparer and reviewing engineer. This administrative document serves as a critical control mechanism for managing project modifications and ensures all stakeholders are informed of changes before implementation.

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Text version

CITY OF CARMEL

TO: CONTRACT CHANGE REQUEST NO.:

DATE:

PROJECT NAME:

FROM:

IT IS REQUESTED THAT A CONTRACT CHANGE BE MADE TO THE ABOVE

REFERENCED CONTRACT.

1. SCOPE OF WORK (USE ADDITIONAL PAGES IF REQUIRED. ALSO LIST OTHER

CONTRACTS INVOLVED.)

2. REASON FOR CHANGE:

3. APPROXIMATE COST CHANGE TO CONTRACT PRICE: _____________________

4. WILL THE CONTRACT NEED ADDITIONAL CONTRACT TIME TO COMPLETE

THE CHANGE IN WORK SCOPE? _____ -YES _____ -NO _____ -(CALENDAR

DAYS)

5. WILL THE CONTRACTOR NEED ADDITIONAL PERSONNEL TO COMPLETE

THE CHANGE IN WORK SCOPE? _____ -YES _____ -NO

IF NO, TRADE(S): _____________________________________

NO. OF PERSONNEL: _________________________________

DURATION: ______________________________________

6. IDENTIFICATION OF ATTACHMENTS:

DATE: _______________________ DATE: ________________________

PREPARED

REVIEWED BY:____________ REVIEWED BY:____________________________

ENGINEER

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File details come from the government source that posted it. Updated .