WORK_DIRECTIVE_CHANGE.pdf
PDF 48 KB Posted
- 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 .