WORK_DIRECTIVE_CHANGE.pdf

PDF 48 KB Posted

Attached to
2026 Rock Salt for Drinking Water Softening
Solicitation number
IFB-2024-027
Issued by
Hamilton County, Indiana

About this file

This document is a Work Directive Change form from the City of Carmel's Board of Public Works and Safety, designed to authorize modifications to an existing contract or project. The form provides a template for documenting changes to project specifications, work scope, or contract terms, with designated spaces for detailing the specific work covered by the directive, reasons for the change, authorization details, potential contract change order amount, and potential impacts on project completion date. Signature lines are included for the owner's representative, city officials, and the city engineer.

The form is a standardized administrative document that allows flexible documentation of project modifications, with provisions for tracking changes through official channels. It includes signature lines for Laura Campbell (Presiding Officer), James Barlow and Alan Potasnik (Board Members), and Brad Pease (City Engineer), with an attestation line for Jacob Quinn (Clerk). The document is version dated 2024-09-23, suggesting it is a current administrative template for managing contract or project adjustments within the City of Carmel's municipal governance process.

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Text version

CITY OF CARMEL

TO: WORK DIRECTIVE CHANGE NO.______________

DATE: ______________________________________

PROJECT NAME:_____________________________

PROJECT NO.: _______________________________

Specification Reference

Drawing Reference:

DESCRIPTION OF WORK COVERED BY THIS DIRECTIVE CHANGE:

REASON FOR THIS ORDER:

AUTHORIZATION:

THIS WORK DIRECTIVE CHANGE AUTHORIZES THE WORK TO BE COMPLETED AS

OUTLINED. A Contract Change Order in the amount of $______________ will be issued to you in the near future to cover this Work Directive Change.

PROJECT COMPLETION DATE: ADD/DEDUCT/UNCHANGED ___________ DAYS.

By:_______________________________ Approved By:

Owner’s Representative

CITY OF CARMEL

BOARD OF PUBLIC

WORKS AND SAFETY

By:__________________________

Laura Campbell, Presiding Officer

By:__________________________ James Barlow, Member

By:__________________________ Alan Potasnik, Member

By:__________________________ Brad Pease, PE, City Engineer

DATE:_______________________

ATTEST:

DATE:_______________________

Jacob Quinn, Clerk

Version 2024-09-23

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