WORK_DIRECTIVE_CHANGE.pdf

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Attached to
Raised Crosswalk Improvements - Gray Road and Hazel Dell Roundabouts
Solicitation number
24-ENG-07b1
Issued by
Hamilton County, Indiana

About this file

This is a Work Directive Change form issued by the City of Carmel, Indiana's Board of Public Works and Safety for use on municipal construction projects. The form serves as a mechanism to authorize modifications to ongoing work, documenting changes to project scope, schedule, and budget prior to issuance of formal contract change orders. The document captures essential project information including project name and number, specification and drawing references, a detailed description of the work covered by the directive change, and the reason for the modification. The form requires authorization signatures from the City Engineer and approval from the Board of Public Works and Safety members, including Laura Campbell as Presiding Officer, James Barlow, Alan Potasnik, and Brad Pease as City Engineer, with attestation by Jacob Quinn, Clerk. The directive change specifies whether the project completion date will be extended, reduced, or remain unchanged, measured in days.

The form indicates that a formal Contract Change Order will be issued in the near future to cover the financial impact of the Work Directive Change, though the specific dollar amount is to be completed at the time of issuance. This form is directly related to the City of Carmel's Raised Crosswalk Improvements project at Gray Road and Hazel Dell Roundabouts, which involves construction of raised crosswalks at six roundabout intersections along with associated storm sewer installation, full-depth patching, curb and gutter replacement, and sidewalk work. The form provides a structured administrative process for managing scope modifications and maintaining coordination between project management, engineering, and municipal governance during active construction phases.

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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 .