"Document Checklist for Construction Change Orders" - New York City

Document Checklist for Construction Change Orders is a legal document that was released by the New York City Department of Design and Construction - a government authority operating within New York City.

Form Details:

  • Released on October 15, 1999;
  • The latest edition currently provided by the New York City Department of Design and Construction;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New York City Department of Design and Construction.

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CITY OF NEW YORK
DEPARTMENT OF DESIGN AND CONSTRUCTION
CONSTRUCTION CHANGE ORDERS
DOCUMENT CHECKLIST
Contract Registration No. ____________________
Change Order No. __________
Check all that apply: [ ] <=$50,000 [ ] > $50,000 [ ] No Cost Change Order [ ] Credit Change Order
[ ] Client/Sponsor Request [ ] Non-material Scope Change [ ] CM Build/Design Build [ ] Requirements Contract
The following documents constitute a complete change order package:
ORIG.
COPIES
DOCUMENT
ENCLOSED/AT SITE
Document Checklist (this form) µ
1
1
[ ]
Change Order Log Entry for this Change Order µ
0
2
[ ]
Contract Change Form (Parts A, B, C and D) µ
1
1
[ ]
Contractor’s/CM’s Cost Proposal µ
0
2
[•]
DDC Estimate µ (or DDC review copy of Contractor’s
1
1
[ ]
Cost Proposal)
Specs and/or drawings relative to CO condition µ
0
2
[ ]
(if applicable)
0
2
Pertinent Correspondence (if applicable)
[ ]
1
0
Change Order Log(s) (at site for EAO Audit)
[ ]
0
2
Proposed Task Order/Supplemental Task Order (for
[ ]
change orders on requirements contracts only if applicable)
0
2
125% Overrun Justification Report
[ ]
(for change orders on unit-priced contracts and
requirements contracts, if applicable)
0
2
Bid Analysis (Top 3 bidders unit prices)
[ ]
(back -up to 125% Overrun Report, if applicable)
Cost Proposal For Unit Price (if applicable) µ
1
1
[ ] or [•]
0
2
Last Approved Time Extension (if applicable)
[ ]
0
2
Letter documenting Emergency Situation (if applicable)
[ ]
0
2
Client/Sponsor Agency Letter (if client requested change)
[ ]
1
1
Certification Memo (if applicable)
[ ]
Note: This form can be used only when a contract’s time
has expired and a Time Extension cannot be approved.
0
2
Comptroller’s or Agency Head’s Dispute Determination
[ ]
(if applicable)
IF CM BUILD/CM DESIGN BUILD**:
Staffing numbers and schedules tied into project phase µ
0
2
[•]
(if applicable)
Staffing rates µ (if applicable)
0
2
[•]
0
2
Bids, estimates for material & labor, specs and/or
[•]
drawings, approved Subcontractor CO/OR Authorizations µ
(when CM change orders on construction allowances are due
to or include previously approved subcontract change orders
or overruns)
0
2
Letter of Approval for Allowance Transfer (if applicable)
[•]
1
0
CM Change Order Log (at site for EAO Audit)
[•]
Subcontract CO/OR Authorization (Parts A & B) µ
0
2
[•]
(for Subcontract CO/OR)
1
1
Notarized cost pricing certificate (for Subcontract CO/OR)
[•]
Subcontractor’s cost proposal (for Subcontract CO/OR) µ
0
2
[•]
Bids, if applicable (for Subcontract CO/OR) µ
0
2
[•]
_________________________________________________________________________________________
___
NOTES: 1. An original is a document with an original signature. All originals must be signed with blue ink.
2. [ ]: Submitted by RE/CPM; [•]: Submitted by Contractor; µ: Required at negotiations.
3. ** Additional requirements.
Note: RE/CPM to check off [√] all documents enclosed/at site.
docckl
09/01/98; rev.
10/15/99
CITY OF NEW YORK
DEPARTMENT OF DESIGN AND CONSTRUCTION
CONSTRUCTION CHANGE ORDERS
DOCUMENT CHECKLIST
Contract Registration No. ____________________
Change Order No. __________
Check all that apply: [ ] <=$50,000 [ ] > $50,000 [ ] No Cost Change Order [ ] Credit Change Order
[ ] Client/Sponsor Request [ ] Non-material Scope Change [ ] CM Build/Design Build [ ] Requirements Contract
The following documents constitute a complete change order package:
ORIG.
COPIES
DOCUMENT
ENCLOSED/AT SITE
Document Checklist (this form) µ
1
1
[ ]
Change Order Log Entry for this Change Order µ
0
2
[ ]
Contract Change Form (Parts A, B, C and D) µ
1
1
[ ]
Contractor’s/CM’s Cost Proposal µ
0
2
[•]
DDC Estimate µ (or DDC review copy of Contractor’s
1
1
[ ]
Cost Proposal)
Specs and/or drawings relative to CO condition µ
0
2
[ ]
(if applicable)
0
2
Pertinent Correspondence (if applicable)
[ ]
1
0
Change Order Log(s) (at site for EAO Audit)
[ ]
0
2
Proposed Task Order/Supplemental Task Order (for
[ ]
change orders on requirements contracts only if applicable)
0
2
125% Overrun Justification Report
[ ]
(for change orders on unit-priced contracts and
requirements contracts, if applicable)
0
2
Bid Analysis (Top 3 bidders unit prices)
[ ]
(back -up to 125% Overrun Report, if applicable)
Cost Proposal For Unit Price (if applicable) µ
1
1
[ ] or [•]
0
2
Last Approved Time Extension (if applicable)
[ ]
0
2
Letter documenting Emergency Situation (if applicable)
[ ]
0
2
Client/Sponsor Agency Letter (if client requested change)
[ ]
1
1
Certification Memo (if applicable)
[ ]
Note: This form can be used only when a contract’s time
has expired and a Time Extension cannot be approved.
0
2
Comptroller’s or Agency Head’s Dispute Determination
[ ]
(if applicable)
IF CM BUILD/CM DESIGN BUILD**:
Staffing numbers and schedules tied into project phase µ
0
2
[•]
(if applicable)
Staffing rates µ (if applicable)
0
2
[•]
0
2
Bids, estimates for material & labor, specs and/or
[•]
drawings, approved Subcontractor CO/OR Authorizations µ
(when CM change orders on construction allowances are due
to or include previously approved subcontract change orders
or overruns)
0
2
Letter of Approval for Allowance Transfer (if applicable)
[•]
1
0
CM Change Order Log (at site for EAO Audit)
[•]
Subcontract CO/OR Authorization (Parts A & B) µ
0
2
[•]
(for Subcontract CO/OR)
1
1
Notarized cost pricing certificate (for Subcontract CO/OR)
[•]
Subcontractor’s cost proposal (for Subcontract CO/OR) µ
0
2
[•]
Bids, if applicable (for Subcontract CO/OR) µ
0
2
[•]
_________________________________________________________________________________________
___
NOTES: 1. An original is a document with an original signature. All originals must be signed with blue ink.
2. [ ]: Submitted by RE/CPM; [•]: Submitted by Contractor; µ: Required at negotiations.
3. ** Additional requirements.
Note: RE/CPM to check off [√] all documents enclosed/at site.
docckl
09/01/98; rev.
10/15/99