DCM Form C-12 "Contract Change Order - Fully Locally-Funded Al Community College System Project" - Alabama

What Is DCM Form C-12?

This is a legal form that was released by the Alabama Department of Finance, Real Property Management - Division of Construction Management - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2021;
  • The latest edition provided by the Alabama Department of Finance, Real Property Management - Division of Construction Management;
  • 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 DCM Form C-12 by clicking the link below or browse more documents and templates provided by the Alabama Department of Finance, Real Property Management - Division of Construction Management.

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Download DCM Form C-12 "Contract Change Order - Fully Locally-Funded Al Community College System Project" - Alabama

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DCM Form C-12
(fully locally-funded AL Community College System project)
Do not staple forms and/or attachments; use clips. Print
August 2021
single-sided; do not submit double-side printed documents.
A Change Order is not valid without an accompanying
completed Change Order Justification (DCM Form B-11).
CONTRACT CHANGE ORDER
DCM (BC) No. ________________
Change Order No. __________
Date ___________________
PROJECT:
TO: (Contractor)
Co. Name:
Address:
TERMS: You are hereby authorized, subject to the provisions of your Contract for this project, to make the
following changes thereto in accordance with your proposal(s) dated _________________________________________
________________________________________________________________________________________________.
FURNISH the necessary labor, materials, and equipment to (Description of work to be done or changes to be made. If
the description is continued in an attachment, identify the attachment below.):
Page 1 of 2
DCM Form C-12
(fully locally-funded AL Community College System project)
Do not staple forms and/or attachments; use clips. Print
August 2021
single-sided; do not submit double-side printed documents.
A Change Order is not valid without an accompanying
completed Change Order Justification (DCM Form B-11).
CONTRACT CHANGE ORDER
DCM (BC) No. ________________
Change Order No. __________
Date ___________________
PROJECT:
TO: (Contractor)
Co. Name:
Address:
TERMS: You are hereby authorized, subject to the provisions of your Contract for this project, to make the
following changes thereto in accordance with your proposal(s) dated _________________________________________
________________________________________________________________________________________________.
FURNISH the necessary labor, materials, and equipment to (Description of work to be done or changes to be made. If
the description is continued in an attachment, identify the attachment below.):
Page 1 of 2
DCM Form C-12
(fully locally-funded AL Community College System project)
August 2021
Description continued from Page 1:
ORIGINAL CONTRACT SUM
$ _______________________
NET TOTAL OF PREVIOUS CHANGE ORDERS
$ _______________________
PREVIOUS REVISED CONTRACT SUM
$ _______________________
THIS CHANGE ORDER WILL
INCREASE
DECREASE
THE CONTRACT SUM BY
$ _______________________
REVISED CONTRACT SUM, INCLUDING THIS CHANGE ORDER
$ _______________________
EXTENSION OF TIME resulting from this Change Order
None
or
______ Calendar days.
The Owner does hereby certify that this Change Order was executed in accordance with the provisions of Title 39,
Code of Alabama, 1975, as amended.
CONTRACTING PARTIES
_______________________________________________
Architectural/Engineering Firm
_______________________________________________
Contractor Company
Recommended By _________________________________
By ____________________________________________
______________________________________
Name & Title
APPROVALS
______________________________________
Name & Title
ALABAMA COMMUNITY COLLEGE SYSTEM
(ACCS)
_______________________________________________
Awarding Authority/Owner Entity
Date:
By ___________________________
______________
By _____________________________________________
Chancellor
_____________________________________
Name & Title
ALABAMA DEPARTMENT OF FINANCE,
REAL PROPERTY MANAGEMENT,
CONSENT OF SURETY
DIVISION OF CONSTRUCTION MANAGEMENT
(for additive $ change orders only)
(DCM)
_______________________________________________
Surety Company
By _____________________________________________
Director
By ____________________________________________
(Attach current Power of Attorney)
Reviewed By ____________________________________
______________________________________
Name & Title
Contract Administrator
Review/Signature flow: Architect/Engineer (prepare documents) > Contractor (review and sign) (> Surety for additive $
change orders only [sign]) > Architect/Engineer (review and sign) > Owner (review and sign) > ACCS (log-in and
stamp) > DCM (review and sign) > ACCS (review and sign) > DCM (distribute fully executed Change Order to all parties).
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