Form BC2256 "Prior Approval Authorization of Contract Change" - Illinois

What Is Form BC2256?

This is a legal form that was released by the Illinois Department of Transportation - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 21, 2020;
  • The latest edition provided by the Illinois Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form BC2256 by clicking the link below or browse more documents and templates provided by the Illinois Department of Transportation.

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Download Form BC2256 "Prior Approval Authorization of Contract Change" - Illinois

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Prior Approval Authorization of Contract Change
Contract Number
District
Letting Date
Route
County
Project Number
Job Number
Section Number
Please attach a copy of this approved form to the BC 22, Authorization of Contract Change, submitted for this work.
FHWA Approval Required?
Yes
No
Contract Number
Authorization Number
Awarded Contract Value
Estimated Cost of this Authorization
Determination
The undersigned determine that the change is germane to the original contract as signed, because:
Provision for this work is included in the original contract.
Work of this type was included in the original contract, and the additional efforts of this work are within the intent of the contract and
Department policy.
The change represents an adjustment required by the contract, based on unpredictable developments in the work.
The change in design is necessary to fulfill the original intent of the contract.
Other, explain
Location and Description of Work
Reason
Prepared By
Date
Regional Engineer
Date
Engineer of Construction
Date
Director of Highways PI/Chief Engineer
Date
THE STATE OF ILLINOIS
FHWA
By the Department of Transportation
Acceptable to Proceed?
Yes
No
Secretary
Date
Approved for Participation?
Yes
No
Date
FHWA Representative
Director of Finance & Administration
Date
Chief Counsel
Date
Completed11/12/20
Page 1 of 1
BC 2256 (Rev. 08/21/20)
Prior Approval Authorization of Contract Change
Contract Number
District
Letting Date
Route
County
Project Number
Job Number
Section Number
Please attach a copy of this approved form to the BC 22, Authorization of Contract Change, submitted for this work.
FHWA Approval Required?
Yes
No
Contract Number
Authorization Number
Awarded Contract Value
Estimated Cost of this Authorization
Determination
The undersigned determine that the change is germane to the original contract as signed, because:
Provision for this work is included in the original contract.
Work of this type was included in the original contract, and the additional efforts of this work are within the intent of the contract and
Department policy.
The change represents an adjustment required by the contract, based on unpredictable developments in the work.
The change in design is necessary to fulfill the original intent of the contract.
Other, explain
Location and Description of Work
Reason
Prepared By
Date
Regional Engineer
Date
Engineer of Construction
Date
Director of Highways PI/Chief Engineer
Date
THE STATE OF ILLINOIS
FHWA
By the Department of Transportation
Acceptable to Proceed?
Yes
No
Secretary
Date
Approved for Participation?
Yes
No
Date
FHWA Representative
Director of Finance & Administration
Date
Chief Counsel
Date
Completed11/12/20
Page 1 of 1
BC 2256 (Rev. 08/21/20)