CONTRACT_CHANGE_REQUEST.pdf

This is a Contract Change Request form from the City of Carmel, Indiana, designed to document modifications to an existing contract for the Intersection Improvements project at 106th Street and Lakeshore Drive East. The form provides a structured framework for requesting changes to contract scope of work, with designated sections for identifying the specific changes, justifying the modification, and calculating associated cost impacts. The document requires documentation of whether the change necessitates additional contract time to complete the work, specified in calendar days if applicable, and whether additional personnel resources will be required, including specification of trades, number of personnel, and duration of employment. The form mandates identification of all attachments supporting the change request and requires signatures and dates from both the preparer and reviewer, with additional space provided for engineer comments and recommendations.

The form itself contains no pricing information, set-asides, funding sources, or contract terms, as it is a blank template awaiting completion for a specific contract modification. All line items and sections remain unfilled, indicating this is a procedural document establishing the process by which the City of Carmel will evaluate and approve changes to the roundabout construction project that includes tree clearing, storm sewers, communications conduit, watermain installation, asphalt pavement, curbs, driveways, truck apron, raised crosswalks, sidewalks, multi-use path, and lighting improvements.