CONTRACT_CHANGE_REQUEST.pdf
PDF 32 KB Posted
- Attached to
- CFD Stations Remodel Project
- Solicitation number
- IFB-2026-012
- Issued by
- Hamilton County, Indiana
About this file
This is a Contract Change Request form utilized by the City of Carmel, Indiana's Board of Public Works and Safety for the CFD Stations Remodel Project. The form serves as the official mechanism for requesting modifications to an existing contract related to the remodel of CFD Station 345 and CFD Stations 342 and 346. The document is designed to capture essential project change information including the scope of work modifications, reasons for the requested changes, and impacts to the project timeline and resource requirements.
The Contract Change Request form requires the contractor and project engineer to document the approximate cost impact of proposed changes, specify whether additional calendar days are needed to complete the modified work scope, and identify if supplemental personnel or trades are necessary to execute the changes. The form includes sections for identifying supporting attachments and provides space for both the preparer and reviewing engineer to document comments and recommendations regarding the requested change. This standardized form ensures systematic evaluation and authorization of contract modifications while maintaining project documentation and approval protocols for the City of Carmel.
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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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