CONTRACT_CHANGE_REQUEST.pdf

PDF 32 KB Posted

Attached to
6" Water Main Gray Rd to Hazel Dell
Solicitation number
IFB-2026-015
Issued by
Hamilton County, Indiana

About this file

This is a Contract Change Request form issued by the City of Carmel, Indiana, for use in modifying existing contracts. The form provides a standardized template for contractors and city personnel to document proposed changes to contract scope of work, including provisions for identifying the specific modifications, rationale for changes, and associated impacts on project delivery and resources.

The Contract Change Request form includes six primary sections requiring documentation: detailed scope of work modifications, reasons for the requested change, approximate cost adjustments to the contract price, and determination of whether additional calendar days are needed for completion. The form also requires identification of any additional personnel needed to execute the scope changes, including trade classifications, number of personnel, and duration of engagement. The document includes designated review and approval sections for the engineer and other authorized personnel, with space for comments and recommendations to support the change request decision-making process.

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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

Comments and Recommendation:

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