WORK_DIRECTIVE_CHANGE.pdf

PDF 48 KB Posted

Attached to
116th Street and Hoover Road Roundabout Construction
Solicitation number
22-ENG-03
Issued by
Hamilton County, Indiana

About this file

This is a Work Directive Change form issued by the City of Carmel's Board of Public Works and Safety in Indiana. The document serves as a template for authorizing changes to ongoing construction work, specifically related to the 116th Street and Hoover Road Roundabout Construction project. The form includes designated spaces for project identification, specification and drawing references, descriptions of work modifications, and the rationale for requested changes. The directive identifies project completion date adjustments in days (add, deduct, or unchanged) and requires approval signatures from the City Engineer, the Presiding Officer, and Board Members of the Board of Public Works and Safety, along with attestation from the City Clerk.

The Work Directive Change authorizes work to be completed as outlined, with a formal Contract Change Order to be issued subsequently in a specified amount to cover the directive's costs. The form does not specify pricing terms, set-asides, or funding sources within its template structure, as these details are populated on individual instances of the directive. This document functions as the mechanism through which the City of Carmel manages scope modifications and associated cost adjustments during the roundabout construction project, ensuring proper authorization and documentation of changes before formal change order issuance.

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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 .