HomeMy WebLinkAboutChange OrdeR #1/ENG/$23,760/Howard Companies/ 24-STR-03 Path PreservationCzBmmjtpoMzodi.NdHsbuibu4;58qn-Efd22-3135
City of Carmel Street Department
Change Order Form
35.TUS.14QbuiQsftfswbujpoProjectName: __________________________________________
2ChangeOrderNo.: ______________________________________
Listed items for this change order:
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235.TUS.14QbuiQsftfswbujpoChangeOrderNo. ____ isfor work completed regarding (project name) ___________________________.
285-611/11Contractpricepriortothischangeorder $ ________________________
34-871/11Contractpricewillbeincreased/decreased by this change order $ ________________________
2:9-371/11Newcontractpriceincludingthischangeorder$ ________________________
Cumulative % Adjusted ContractAmountChange fromPriceOriginalContract
Original ContractN/A N/A285-611/11
CO 1: 34-871/11%2:9-371/1125& Beejujpobmbtqibmusfqbjs-{fspefqui-boemjrvjespbe
CO 2:
CO 3:
Docusign Envelope ID: 9276DBCF-8D4E-4A99-A43B-B8FE7E0471CE
CITY OFCARMELTO:
2CONTRACTCHANGEORDERNO.: ______________
2301:03135DATE: _______________________________________
35.TUS.14QbuiQsftfswbujpoPROJECTNAME: ______________________________
O0BCITYREQ. NO.: _______________________________
223562-223:84CITYPONO.: _________________________________
1803303135-22036035CITYPODATE: _______________________________
I.
You are directed tomake the following changes inthis Contract:
2ChangeOrderNo. ____ listed below.
SCHEDULED ADJUSTMENTITEMAMOUNTOR (-) DAYS
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The following referenced Documents further describe the changes outlined inParagraph I, and are tobe
considered apart ofthisChange Order: R.F.P.: ______ W.D.C. No.: ______ Other: __________________
The changes result inthe following adjustment ofContract Price and Contract Time:
285-611/11ContractPricepriortothisChangeOrder $ _________________
34-871/11ContractPricewillbeincreased/ decreased by this Change Order $ _________________
2:9-371/11NewContractPriceincludingthisChangeOrder $ _________________
29123034035ContractTimePriortothisChangeOrder: ______ Days. Completion Date: ____________
3Netincrease/decrease resulting from thisChange Order: ______ Days
23036035293CurrentContractTimeincludingthisChangeOrder: ______ Days. Completion Date: __________
Docusign Envelope ID: 9276DBCF-8D4E-4A99-A43B-B8FE7E0471CE
This Change Order is for full and final settlement of all direct, indirect, impact costs and time
extensions incurred at any time resulting from the performance of the changed work.
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428.844.3112
2301:03135
Docusign Envelope ID: 9276DBCF-8D4E-4A99-A43B-B8FE7E0471CE
12/18/2024