CONTRACT_CHANGE_REQUEST.pdf

This is a Contract Change Request form from the City of Carmel, Indiana's Board of Public Works and Safety, designed to document modifications to an existing contract for the supply of 2027 rock salt for drinking water softening. The form is used to request changes to contract scope of work, with provisions for documenting the nature of the requested modifications, the rationale for the change, and any impacts to project timeline or resource requirements. Bidders for the original contract were required to provide approximately 8,000 tons of coarse Southern United States rock salt that meets American Water Works Association (AWWA) specification B200-22 and is NSF60 compliant, clean, and free of dirt and debris. Sealed bids for the original contract were due by 8:00 am on Wednesday, August 19, 2026, via the City's e-Procurement Portal at https://procurement.opengov.com/portal/carmelin.

The Contract Change Request form includes sections for identifying the approximate cost impact of the proposed change, determining whether additional contract time or personnel will be required to complete the modified work scope, and attaching supporting documentation. The form requires signatures and comments from the preparer and reviewing engineer, with space provided for the engineer's recommendations regarding the feasibility and appropriateness of the requested change. No specific pricing terms, set-asides, incumbent contractor information, or funding source details are provided in this blank template form.