CONTRACT_CHANGE_REQUEST.pdf

PDF 32 KB Posted

Attached to
25-STR-01 106th St Bridge Repair
Solicitation number
IFB-2024-018
Issued by
Hamilton County, Indiana

About this file

This document is a Contract Change Request form from the City of Carmel, designed to facilitate modifications to an existing contract for the 25-STR-01 106th St Bridge Repair project. The form provides a standardized template for documenting proposed changes to the contract's scope of work, with sections for detailing the reason for the change, approximate cost adjustments, potential need for additional contract time, and required personnel.

The form allows for comprehensive documentation of contract modifications, including spaces to specify the scope of work changes, reasons for the adjustment, cost implications, potential timeline extensions, and personnel requirements. While the form is currently blank, it is specifically tailored for the 106th St Bridge Repair project, which involves replacing damaged beams, repairing vehicle collision damages, replacing ornamental railing, sidewalk, pier and end bent diaphragms, and other miscellaneous work items. The form is structured to facilitate clear communication and formal approval of contract changes between the contractor and 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

Comments and Recommendation:

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