WORK_DIRECTIVE_CHANGE.pdf

This is a Work Directive Change form issued by the City of Carmel, Board of Public Works and Safety, located in Hamilton County, Indiana, for use on the 116th Street and Hoover Road Roundabout Construction project. The form serves as a template for documenting authorized changes to project work, including modifications to scope of work, specifications, drawings, and project timeline. The document requires completion of project identification information, detailed description of work covered by the directive change, and the reason for the order. Changes to project completion dates must be specified as additions, deductions, or no change in days. A formal Contract Change Order will be issued to cover the financial impact of the Work Directive Change, with the amount to be determined and documented separately. Authorization requires approval from the City of Carmel Board of Public Works and Safety, including signature by the Presiding Officer (Laura Campbell), members (James Barlow and Alan Potasnik), and City Engineer (Brad Pease, PE), along with attestation by the City Clerk (Jacob Quinn).

The form contains no specific pricing information, set-asides, or funding details, as it is a blank template for documenting future changes rather than an individual change order. The document version is dated September 23, 2024, and will be used for administering changes to the roundabout construction project that was originally bid with a sealed bid deadline of February 4, 2026, and a project timeline from August 31, 2026, through May 1, 2027.