HomeMy WebLinkAboutKPS Commercial Construction/STREET/$5,940.00/24-STR-09 CO#1City of Carmel Street Department
Change Order Form
35.TUS.1:TusffuEfqbsunfouCvjmejohVqhsbeftProjectName: __________________________________________
2ChangeOrderNo.: ______________________________________
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Listed items for this change order:
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35.TUS.1:TusffuEfqbsunfouCvjmejohVqhsbeft2ChangeOrderNo. ____ isfor work completed regarding (project name) ___________________________.
536-8:6/11Contractpricepriortothischangeorder $ ________________________
6-:51/11Contractpricewillbeincreased/decreased by this change order $ ________________________
542-846/11Newcontractpriceincludingthischangeorder$ ________________________
Original ContractN/A N/A536-8:6/11
CO 1: 6-:51/11%542-846/112/51& Beejujpobmtjejohboefyufsjpsusjnup
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CO 2:
CO 3:
Docusign Envelope ID: F67E0198-C959-468F-93CF-F34D6840DF46
CITY OFCARMELTO:
2CONTRACTCHANGEORDERNO.: ______________
1402303136DATE: _______________________________________
35.TUS.1:TusEfquCvjme/VqhsbeftPROJECTNAME: ______________________________
O0BCITYREQ. NO.: _______________________________
224186-227692CITYPONO.: _________________________________
2301:03135-1402303136CITYPODATE: _______________________________
I.
You are directed tomake the following changes inthis Contract:
2ChangeOrderNo. ____ listed below.
SCHEDULED ADJUSTMENTITEMAMOUNTOR (-) DAYS
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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:
536-8:6/11ContractPricepriortothisChangeOrder $ _________________
6-:51/11ContractPricewillbeincreased/ decreased by this Change Order $ _________________
542-846/11NewContractPriceincludingthisChangeOrder $ _________________
17012031361ContractTimePriortothisChangeOrder: ______ Days. Completion Date: ____________
1Netincrease/decrease resulting from thisChange Order: ______ Days
17012031361CurrentContractTimeincludingthisChangeOrder: ______ Days. Completion Date: __________
Docusign Envelope ID: F67E0198-C959-468F-93CF-F34D6840DF46
Docusign Envelope ID: F67E0198-C959-468F-93CF-F34D6840DF46
3/20/2025
NOT PRESENT