WORK_DIRECTIVE_CHANGE.pdf

PDF 48 KB Posted

Attached to
2027 Rock Salt for Drinking Water Softening
Solicitation number
IFB-2026-010
Issued by
Hamilton County, Indiana

About this file

This is a Work Directive Change form from the City of Carmel, Indiana's Board of Public Works and Safety, designed to authorize modifications to an existing contract for 2027 Rock Salt for Drinking Water Softening. The form serves as the mechanism through which the city documents changes to project scope, specifications, or drawings prior to issuing a formal Contract Change Order. The directive includes fields for project identification, detailed description of work modifications, the justification for the change order, and adjustments to the project completion timeline, with provisions to add, deduct, or leave unchanged the number of contract days. The form requires approval from the city's Board of Public Works and Safety members and the City Engineer before authorization.

The Work Directive Change form establishes that a subsequent Contract Change Order will be issued to cover the financial impact of the authorized modifications, with the specific dollar amount to be determined and documented separately. The form requires signatures from the Board of Public Works and Safety, including the Presiding Officer Laura Campbell and members James Barlow and Alan Potasnik, as well as approval from Brad Pease, the City Engineer. This template represents the city's administrative procedure for managing scope changes on the rock salt procurement project prior to formal change order issuance, ensuring proper authorization and documentation of all contractual modifications.

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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 .