WORK_DIRECTIVE_CHANGE.pdf

PDF 48 KB Posted

Attached to
99th Street Path Construction Between Westfield Blvd and Haverstick Rd
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.

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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 .