WORK_DIRECTIVE_CHANGE.pdf
PDF 48 KB Posted
- Solicitation number
- 22-ENG-05
- Issued by
- Hamilton County, Indiana
About this file
The document is a Work Directive Change form issued by the City of Carmel's Board of Public Works and Safety, specifically related to the 99th Street Path Construction project between Westfield Boulevard and Haverstick Road. This form is a standardized template designed to authorize changes to a contract, with blank spaces to be filled in with specific project details such as the work description, reason for the change, and potential impact on project completion date and contract value.
The form provides a mechanism for documenting and approving modifications to the original project scope, with provisions for the owner's representative and the Board of Public Works and Safety to review and authorize changes. While the specific details are not filled in on this template, it serves as a formal document to track and approve alterations to the construction project, ensuring transparency and proper documentation of any contractual amendments. The form includes spaces for signatures from key officials including the Presiding Officer, Board Members, and City Engineer, as well as an attestation by the City Clerk.
View the file
Other files
Show all 17
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .