HomeMy WebLinkAboutChange Order #2/STREET/$189,435.44/Howard Companies/24-STR-02 PavingCzBmmjtpoMzodi.NdHsbuibu5;14qn-Efd22-3135
City of Carmel Street Department
Change Order Form
35.TUS.13QbwjohProjectName: __________________________________________
3ChangeOrderNo.: ______________________________________
Listed items for this change order:
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335.TUS.13QbwjohChangeOrderNo. ____ isfor work completed regarding (project name) ___________________________.
5-51:-144/57Contractpricepriortothischangeorder $ ________________________
29:-546/55Contractpricewillbeincreased/decreased by this change order $ ________________________
5-6:9-579/:1Newcontractpriceincludingthischangeorder$ ________________________
Original ContractN/A N/A5-418-393/:2
CO 1: 211-861/66%5-51:-144/573/45& Beejujpobmqbwjoh-beejujpobmNPU
CO 2: 29:-546/55%5-6:9-579/:17/9& Beejujpobmdpodsfufqbzjufnt-
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CO 3:
Docusign Envelope ID: 9276DBCF-8D4E-4A99-A43B-B8FE7E0471CE
CITY OFCARMELTO:
3CONTRACTCHANGEORDERNO.: ______________
2301:03135DATE: _______________________________________
35.TUS.13QbwjohPROJECTNAME: ______________________________
O0BCITYREQ. NO.: _______________________________
22212:-223567-223:86CITYPONO.: _________________________________
4032035-8034035-22036035CITYPODATE: _______________________________
I.
You are directed tomake the following changes inthis Contract:
3ChangeOrderNo. ____ listed below.
SCHEDULED ADJUSTMENTITEMAMOUNTOR (-) DAYS
Beejujpobmdpodsfufqbzjufnt 29:-546/5525
1
1
The following referenced Documents further describe the changes outlined inParagraph I, and are tobe
O0BtffbuubdifeepdvnfoutO0BconsideredapartofthisChangeOrder: R.F.P.: ______ W.D.C. No.: ______ Other: __________________
The changes result inthe following adjustment ofContract Price and Contract Time:
5-51:-144/57ContractPricepriortothisChangeOrder $ _________________
29:-546/55ContractPricewillbeincreased/ decreased by this Change Order $ _________________
5-6:9-579/:1NewContractPriceincludingthisChangeOrder $ _________________
2201203135323ContractTimePriortothisChangeOrder: ______ Days. Completion Date: ____________
1Netincrease/decrease resulting from thisChange Order: ______ Days
23036035337CurrentContractTimeincludingthisChangeOrder: ______ 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
230:03135
Docusign Envelope ID: 9276DBCF-8D4E-4A99-A43B-B8FE7E0471CE
12/18/2024