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 used by the City of Carmel, Indiana's Board of Public Works and Safety to authorize modifications to construction contracts. The form serves as a template for documenting changes to project scope, specifications, or drawings prior to the issuance of formal contract change orders. The document requires completion of project identification information, a detailed description of the work covered by the directive change, the reason for the order, and specification or drawing references. The form indicates that a formal Contract Change Order will be issued subsequently to cover the financial impact of the work directive change, with provisions to note whether the change adds or deducts days from the project completion date. The form must be approved by the City Engineer, the Presiding Officer of the Board of Public Works and Safety, and Board members James Barlow and Alan Potasnik, with attestation by the City Clerk Jacob Quinn.

The Work Directive Change form does not contain pricing information, set-asides, incumbent vendor information, or funding details, as it functions as a change authorization mechanism rather than a procurement document. This template is associated with the Raised Crosswalk Improvements project at Gray Road and Hazel Dell Roundabouts, a municipal infrastructure project involving construction of raised crosswalks at six intersections in Carmel with a substantial completion deadline of August 10, 2026. The form's version date of September 23, 2024, indicates it represents current City of Carmel procedures for managing contract modifications during active construction projects.

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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 .